Organization Active NPI

Classic Mobile Dental Services-Cynthia Tufts White D.D.S., Inc

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1154532778
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31.019945 Issued in OH
Legal business name
CLASSIC MOBILE DENTAL SERVICES-CYNTHIA TUFTS WHITE D.D.S., INC
Practice address
2213 Inchcliff Rd
Columbus, OH 43221-2715
Phone
(614) 395-1870
Fax
(614) 319-6144
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Cynthia Tufts White, DDS
Title
President, Owner
Phone
(614) 395-1870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31.019945 OH Primary

Addresses

Primary practice location

2213 Inchcliff Rd
Columbus, OH 43221-2715

Mailing address

PO Box 20671
Columbus, OH 43220-0671
Phone (614) 395-1870

Other identifiers 1

IdentifierTypeStateIssuer
0998443MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1154532778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20671",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200671",
            "telephone_number": "614-395-1870",
            "fax_number": "614-319-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 INCHCLIFF RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212715",
            "telephone_number": "614-395-1870",
            "fax_number": "614-319-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC MOBILE DENTAL SERVICES-CYNTHIA TUFTS WHITE D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "TUFTS",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "614-395-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "31.019945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0998443",
            "state": "OH"
        }
    ],
    "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 Oct 5, 2016; 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.