NPIMap

Organization Active NPI

Athens Dental Depot, Michael D. Ginder DDS & Company

  • General Practice Dentistry
  • Athens, OH
National Provider Identifier
1013526078
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATHENS DENTAL DEPOT, MICHAEL D. GINDER DDS & COMPANY
Practice address
80 Columbus Rd
Athens, OH 45701-1312
Phone
(740) 594-6000
Fax
(740) 594-6025
NPI assigned
Jul 27, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Anne Cornwell
Title
Treasurer/Cpa
Phone
(740) 707-7838

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU
General Practice Dentistry 1223G0001X NU Primary
Dental Hygienist 124Q00000X NU

Addresses

Primary practice location

80 Columbus Rd
Athens, OH 45701-1312

Mailing address

80 Columbus Rd
Athens, OH 45701-1312
Phone (740) 594-6000

National Provider Directory

National Provider Directory

Locations

80 Columbus Rd
Athens, OH 45701
Phone (740) 594-6000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1013526078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011312",
            "telephone_number": "740-594-6000",
            "fax_number": "740-594-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011312",
            "telephone_number": "740-594-6000",
            "fax_number": "740-594-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS DENTAL DEPOT, MICHAEL D. GINDER DDS & COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "TREASURER/CPA",
        "authorized_official_telephone_number": "740-707-7838"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.