Organization Active NPI

Polaris Dental Care Dublin, Irfan Khan DDS, LLC

  • General Practice Dentistry
  • Dublin, OH
National Provider Identifier
1134754161
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POLARIS DENTAL CARE DUBLIN, IRFAN KHAN DDS, LLC
Practice address
420 Metro PL S Ste B
Dublin, OH 43017-5311
Phone
(614) 689-8989
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Irfan Khan, DDS
Title
Owner
Phone
(614) 226-7049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

420 Metro PL S Ste B
Dublin, OH 43017-5311

Mailing address

420 Metro PL S Ste B
Dublin, OH 43017-5311
Phone (614) 689-8989

Other identifiers 1

IdentifierTypeStateIssuer
1710120621OtherOHNPI

National Provider Directory

National Provider Directory

Locations

420 Metro Pl S
Ste B
Dublin, OH 43017
Phone (614) 689-8989

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1134754161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 METRO PL S STE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175311",
            "telephone_number": "614-689-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 METRO PL S STE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175311",
            "telephone_number": "614-689-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS DENTAL CARE DUBLIN, IRFAN KHAN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-226-7049",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710120621",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.