NPIMap

Organization Active NPI

John J. Patock, DDS, Inc

  • Dental Clinic/Center
  • Gahanna, OH
National Provider Identifier
1124150354
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30019560 Issued in OH
Legal business name
JOHN J. PATOCK, DDS, INC
Practice address
1163 N Hamilton Rd
Gahanna, OH 43230-3452
Phone
(614) 337-1807
Fax
(614) 337-0629
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. John J Patock, DDSNPI 1740330919
Title
DDS
Phone
(614) 337-1807

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30019560 OH Primary

Addresses

Primary practice location

1163 N Hamilton Rd
Gahanna, OH 43230-3452

Mailing address

1163 N Hamilton Rd
Gahanna, OH 43230-3452
Phone (614) 337-1807

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1124150354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303452",
            "telephone_number": "614-337-1807",
            "fax_number": "614-337-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303452",
            "telephone_number": "614-337-1807",
            "fax_number": "614-337-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. PATOCK, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "PATOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "614-337-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30019560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.