Active NPI
Avneet K Sandhu, DDS
- Pediatric Dentistry
- Columbus, OH
National Provider Identifier
1023101508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30021931
- Practice address
- 117 Lazelle Rd Ste D
Columbus, OH 43235-8605 - Phone
- (614) 888-3212
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30021931 | OH | |
| Pediatric Dentistry | 1223P0221X | 30021931 | OH | Primary |
Addresses
Primary practice location
117 Lazelle Rd Ste D
Columbus, OH 43235-8605
Mailing address
117 Lazelle Rd Ste D
Columbus, OH 43235-8605
Phone (614) 888-3212
Other practice location 1
4655 Morse Centre Rd
Columbus, OH 43229-6601
Phone (614) 470-9640
Other practice location 2
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-5650
Other practice location 3
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-5650
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1777813 | Other | OH | UNITED CONCORDIA |
| 2527797 | Medicaid | OH | |
| 9179382 | Other | OH | DORAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30021931 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Children'S Hospital | Past | Accepting new patients | |
| Worthington Pediatric Dentists Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
-
- Dentist
- Columbus, OH
- NPI 1700930948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1023101508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 LAZELLE RD STE D",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432358605",
"telephone_number": "614-888-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 LAZELLE RD STE D",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432358605",
"telephone_number": "614-888-3212"
}
],
"practiceLocations": [
{
"address_1": "4655 Morse Centre Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432296601",
"country_code": "US",
"telephone_number": "614-470-9640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "380 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432157508",
"country_code": "US",
"telephone_number": "614-722-5650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052639",
"country_code": "US",
"telephone_number": "614-722-5650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDHU",
"first_name": "AVNEET",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30021931",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30021931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1777813",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2527797",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9179382",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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.