Organization Active NPI

Discover Dental LLC

  • Dentist
  • Columbus, OH
National Provider Identifier
1154614675
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30023314 Issued in OH
Legal business name
DISCOVER DENTAL LLC
Practice address
2872 Stelzer Rd
Columbus, OH 43219-3133
Phone
(614) 476-3368
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Mohamed Warsame, DMD
Title
Dentist/Owner
Phone
(614) 476-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30023314 OH Primary

Addresses

Primary practice location

2872 Stelzer Rd
Columbus, OH 43219-3133

Mailing address

2872 Stelzer Road
Columbus, OH 43219
Phone (614) 476-3368

Other identifiers 1

IdentifierTypeStateIssuer
3095814MedicaidOH

Other names 1

  • Discover Dental LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2872 Stelzer Rd
Columbus, OH 43219
Phone (614) 476-3368

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": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1154614675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 STELZER ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-476-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 STELZER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193133",
            "telephone_number": "614-476-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "614-476-3368",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095814",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2011; 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.