Organization Active NPI

Tate Dental LLC

  • Dental Clinic/Center
  • Columbus, OH
National Provider Identifier
1013702661
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TATE DENTAL LLC
Practice address
5770 Karl Rd Ste 100
Columbus, OH 43229-3658
Phone
(614) 846-8340
Fax
(614) 846-8345
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Mr. Reggie Tate, MBA
Title
Businee Manager
Phone
(614) 563-6542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5770 Karl Rd Ste 100
Columbus, OH 43229-3658

Mailing address

5770 Karl Rd Ste 100
Columbus, OH 43229-3658
Phone (614) 846-8340

Other names 1

  • Northside Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5770 Karl Rd
Ste 100
Columbus, OH 43229
Phone (614) 846-8340

Practitioners & affiliated clinicians

Practitioners 1

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": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1013702661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 KARL RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293658",
            "telephone_number": "614-846-8340",
            "fax_number": "614-846-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 KARL RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293658",
            "telephone_number": "614-846-8340",
            "fax_number": "614-846-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "REGGIE",
        "authorized_official_title_or_position": "BUSINEE MANAGER",
        "authorized_official_telephone_number": "614-563-6542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.