Individual provider Active NPI

Shayne Fixari, DDS

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1144581620
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.018577 Issued in OH
Practice address
4241 Kimberly Pkwy
Columbus, OH 43232-7225
Phone
(614) 866-7445
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.018577 OH Primary

Addresses

Primary practice location

4241 Kimberly Pkwy
Columbus, OH 43232-7225

Mailing address

4241 Kimberly Pkwy
Columbus, OH 43232-7225
Phone (614) 866-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.018577OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fixari Family Dental LLC Past Accepting new patients
Fixari Childrens Dental LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1144581620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 KIMBERLY PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327225",
            "telephone_number": "614-866-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 KIMBERLY PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327225",
            "telephone_number": "614-866-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIXARI",
        "first_name": "SHAYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.018577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.