NPIMap

Organization Active NPI

Oral & Facial Surgery for Adults & Children LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, OH
National Provider Identifier
1033389382
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30020297 Issued in OH
Legal business name
ORAL & FACIAL SURGERY FOR ADULTS & CHILDREN LLC
Practice address
1161 Bethel Rd Suite 303
Columbus, OH 43220-2775
Phone
(614) 457-9337
Fax
(614) 705-1867
NPI assigned
Mar 3, 2008
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. David A Smeltzer, DDS MSNPI 1275613085
Title
Owner
Phone
(614) 457-9337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30021594 OH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30020297 OH Primary

Addresses

Primary practice location

1161 Bethel Rd Suite 303
Columbus, OH 43220-2775

Mailing address

1151 Bethel Rd Ste 104
Columbus, OH 43220-2775
Phone (614) 457-9337

Other names 1

  • DAVID A SMELTZER DDS MS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051212000317 OH Part B Supplier - Clinic/Group Practice 4789605312 Receives reassigned benefits from 1 practitioner
Practice locations: Powell, OH; Columbus, OH; Marysville, OH; Grove City, OH

National Provider Directory

National Provider Directory

Locations

1151 Bethel Rd
Ste 104
Columbus, OH 43220

1151 Bethel Rd
Ste 104A
Columbus, OH 43220

3705 Olentangy River Rd
Ste 200
Columbus, OH 43214
Phone (614) 457-9337

279 Stocksdale Dr
Marysville, OH 43040
Phone (937) 644-2600

10236 Sawmill Pkwy
Powell, OH 43065
Phone (614) 457-9337

10567 Sawmill Pkwy
#103
Powell, OH 43065
Phone (614) 798-9500

Practitioners & affiliated clinicians

Practitioners 8

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": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1033389382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BETHEL RD STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-457-9337",
            "fax_number": "614-705-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD SUITE 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-457-9337",
            "fax_number": "614-705-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY FOR ADULTS & CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "SMELTZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-457-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30021594",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30020297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID A SMELTZER DDS MS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DAVID A SMELTZER DDS MS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.