NPIMap

Organization Active NPI

Scarlet Dental Katie Vincer Sears DDS, Inc.

  • Dentist
  • Zanesville, OH
National Provider Identifier
1134550882
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.022821 Issued in OH
Legal business name
SCARLET DENTAL KATIE VINCER SEARS DDS, INC.
Practice address
3205 Broadvue Circle
Zanesville, OH 43701
Phone
(740) 454-6705
Fax
(740) 454-9388
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Susan Lee
Title
Manager
Phone
(614) 829-7285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.022821 OH Primary

Addresses

Primary practice location

3205 Broadvue Circle
Zanesville, OH 43701

Mailing address

107 W. Columbus Street
Pickerington, OH 43147
Phone (614) 829-7285

National Provider Directory

National Provider Directory

Locations

3205 Broadvue Cir
Zanesville, OH 43701
Phone (740) 454-6705

Practitioners & affiliated clinicians

Practitioners 5

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": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1134550882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W. COLUMBUS STREET",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "614-829-7285",
            "fax_number": "614-829-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 BROADVUE CIRCLE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-454-6705",
            "fax_number": "740-454-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARLET DENTAL KATIE VINCER SEARS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-829-7285"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.