NPIMap

Organization Active NPI

Andrew C Palmer Dentistry, LLC

  • Dentist
  • Circleville, OH
National Provider Identifier
1013495613
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-022408 Issued in OH
Legal business name
ANDREW C PALMER DENTISTRY, LLC
Practice address
120 Walnut Creek Pike
Circleville, OH 43113-1048
Phone
(740) 477-2220
Fax
(740) 477-1659
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew C Palmer, DDS
Title
Owner
Phone
(740) 412-1807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30-022408 OH Primary

Addresses

Primary practice location

120 Walnut Creek Pike
Circleville, OH 43113-1048

Mailing address

120 Walnut Creek Pike
Circleville, OH 43113-1048
Phone (740) 477-2220

National Provider Directory

National Provider Directory

Locations

120 Walnut Creek Pike
Circleville, OH 43113
Phone (740) 477-2220

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1013495613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WALNUT CREEK PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131048",
            "telephone_number": "740-477-2220",
            "fax_number": "740-477-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WALNUT CREEK PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131048",
            "telephone_number": "740-477-2220",
            "fax_number": "740-477-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW C PALMER DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-412-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.