Active NPI
Terry Lawrence Daniel, D.M.D.,M.S.
- Periodontics
- Columbus, OH
National Provider Identifier
1174653745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 30022238
- Practice address
- 170 Northwoods Blvd
Suite 110
Columbus, OH 43235-4711 - Phone
- (614) 888-8585
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 30022238 | OH | Primary |
Addresses
Primary practice location
170 Northwoods Blvd
Suite 110
Columbus, OH 43235-4711
Mailing address
2784 Quarry PT
Columbus, OH 43204-3892
Phone (614) 208-8775
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30022238 | OH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174653745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2784 QUARRY PT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432043892",
"telephone_number": "614-208-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 NORTHWOODS BLVD",
"address_2": "SUITE 110",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354711",
"telephone_number": "614-888-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "TERRY",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.M.D.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "30022238",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.