Organization Active NPI

Clintonville Dentistry

  • Dental Clinic/Center
  • Columbus, OH
National Provider Identifier
1063191096
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CLINTONVILLE DENTISTRY
Practice address
4490 Indianola Ave
Columbus, OH 43214-2244
Phone
(614) 262-8180
NPI assigned
Jul 17, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Dr. Hongwei Wang, DDS
Title
Business Owner / Dentist
Phone
(614) 262-8180

Specialties & licenses 1

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

Addresses

Primary practice location

4490 Indianola Ave
Columbus, OH 43214-2244

Mailing address

4490 Indianola Ave
Columbus, OH 43214-2244
Phone (614) 262-8180

National Provider Directory

National Provider Directory

Locations

4490 Indianola Ave
Columbus, OH 43214
Phone (614) 252-8180

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1063191096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 INDIANOLA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142244",
            "telephone_number": "614-262-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 INDIANOLA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142244",
            "telephone_number": "614-262-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTONVILLE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HONGWEI",
        "authorized_official_title_or_position": "BUSINESS OWNER / DENTIST",
        "authorized_official_telephone_number": "614-262-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 24, 2023; 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.