Individual provider Active NPI

Douglas Allen Nartker, DMD

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1053849299
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025614 Issued in OH
Practice address
4661 Sawmill Rd Ste 102
Columbus, OH 43220-9314
Phone
(614) 487-1167
Fax
(614) 487-1167
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025614 OH Primary

Addresses

Primary practice location

4661 Sawmill Rd Ste 102
Columbus, OH 43220-9314

Mailing address

4661 Sawmill Rd Ste 102
Columbus, OH 43220
Phone (614) 588-0678

Other practice location 1

2410 NW Federal Hwy Ste A-110
Stuart, FL 34994-9314
Phone (772) 692-4002

Other practice location 2

4661 Sawmill Rd Ste 102
Columbus, OH 43220-9314
Phone (614) 487-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316001861 OH Practitioner - Dentist 7618305194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025614OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health,Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1053849299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 SAWMILL RD STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-588-0678",
            "fax_number": "614-588-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4661 SAWMILL RD STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432209314",
            "telephone_number": "614-487-1167",
            "fax_number": "614-487-1167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 NW Federal Hwy Ste A-110",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349949314",
            "country_code": "US",
            "telephone_number": "772-692-4002",
            "fax_number": "772-692-9106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4661 Sawmill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432209314",
            "country_code": "US",
            "telephone_number": "614-487-1167",
            "fax_number": "614-487-1167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARTKER",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.