Active NPI
Eric Guzak, DMD
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1093373060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30025826
- Practice address
- 1895 Bethel Rd
Columbus, OH 43220-1869 - Phone
- (614) 442-3933
- Fax
- (614) 442-3932
- NPI assigned
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30025826 | OH | Primary |
Addresses
Primary practice location
1895 Bethel Rd
Columbus, OH 43220-1869
Mailing address
1895 Bethel Rd
Columbus, OH 43220-1869
Phone (614) 442-3933
Other practice location 1
4601 N High St
Columbus, OH 43214-2043
Phone (614) 263-1662
Other practice location 2
111 E Main St
Cardington, OH 43315-1115
Phone (419) 864-9050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376755207 | Other | DELTA DENTAL, METLIFE, AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lorik@jedkeslerdds.com |
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 |
|---|---|---|---|
| 30025826 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Guzak DMD LLC | Current | Accepting new patients | |
| C. Jed Kesler, D.D.S., Cardington Family Dental, Inc. | General Practice | Past | Accepting new patients |
Locations
1895 Bethel Rd
Columbus, OH 43220
Phone (614) 442-3933
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 1356298061
-
- General Practice Dentistry
- Cardington, OH
- NPI 1326300849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1093373060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1895 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432201869",
"telephone_number": "614-442-3933",
"fax_number": "614-442-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432201869",
"telephone_number": "614-442-3933",
"fax_number": "614-442-3932"
}
],
"practiceLocations": [
{
"address_1": "4601 N High St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432142043",
"country_code": "US",
"telephone_number": "614-263-1662",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E Main St",
"address_purpose": "LOCATION",
"city": "Cardington",
"state": "OH",
"postal_code": "433151115",
"country_code": "US",
"telephone_number": "419-864-9050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZAK",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30025826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL, METLIFE, AETNA",
"identifier": "1376755207",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lorik@jedkeslerdds.com",
"affiliation": "N",
"address_1": "1895 Bethel Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432201869",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.