Active NPI
Gary M Judis DDS Inc
- Dentist
- Groveport, OH
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
- Last updated
- 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
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 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
National Provider Directory
National Provider DirectoryLocations
5940 Clyde Moore Dr
Ste A
Groveport, OH 43125
Phone (614) 492-1471
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Groveport, OH
- NPI 1578523619
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.