NPIMap

Barry S. Blank,D.D.S.,M.SC.D, Alan R. Levy D.M.D. & Associates

Organization Active NPI Periodontics · Columbus, OH

NPI 1114079647 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1114079647
Entity type
Organization (NPI type 2)
Primary specialty
Periodontics 1223P0300X
Legal business name
BARRY S. BLANK,D.D.S.,M.SC.D, ALAN R. LEVY D.M.D. & ASSOCIATES
Practice address
5180 E Main St
Suite a
Columbus, OH 43213-2436
Phone
(614) 864-2561
Fax
(614) 864-2915
NPI assigned
Jan 17, 2007
Organization subpart
No

Authorized official

Name
Barry S. Blank, D.D.S. NPI 1467504985
Title
President
Phone
(614) 864-2561

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5180 E Main St
Ste A
Columbus, OH 43213
Phone (614) 864-2561

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics
Group: 193400000X SINGLE SPECIALTY GROUP		 1223P0300X Yes

Addresses

Primary practice location

5180 E Main St
Suite a
Columbus, OH 43213-2436

Mailing address

5180 E Main St
Suite a
Columbus, OH 43213-2436
Phone (614) 864-2561

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114079647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 E MAIN ST",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132436",
            "telephone_number": "614-864-2561",
            "fax_number": "614-864-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 E MAIN ST",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132436",
            "telephone_number": "614-864-2561",
            "fax_number": "614-864-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY S. BLANK,D.D.S.,M.SC.D, ALAN R. LEVY D.M.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-864-2561",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

All providers in Columbus, OH · Periodontics in Ohio

Sources for this page

Verify at the official NPI Registry.