Active NPI
Gary M Judis DDS Inc
- Dentist
- Groveport, OH
National Provider Identifier
1104736370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- GARY M JUDIS DDS INC
- Practice address
- 5940 Clyde Moore Dr Ste a
Groveport, OH 43125-2010 - Phone
- (614) 492-1471
- Fax
- (614) 492-1480
- NPI assigned
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Judis, DDS
- Title
- Owner
- Phone
- (614) 492-1471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5940 Clyde Moore Dr Ste a
Groveport, OH 43125-2010
Mailing address
5940 Clyde Moore Dr Ste a
Groveport, OH 43125-2010
Phone (614) 492-1471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1104736370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 CLYDE MOORE DR STE A",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431252010",
"telephone_number": "614-492-1471",
"fax_number": "614-492-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 CLYDE MOORE DR STE A",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431252010",
"telephone_number": "614-492-1471",
"fax_number": "614-492-1480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY M JUDIS DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "JUDIS",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-492-1471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groveport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.