Greater Columbus Periodontics, LLC, Ryan J. Serra, DMD, Ms

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

023093 Issued in OH

Legal business name

GREATER COLUMBUS PERIODONTICS, LLC, RYAN J. SERRA, DMD, MS

Practice address

1914 Bethel Rd
Columbus, OH 43220-1802

Phone

(614) 451-1122

NPI assigned

Sep 22, 2009

Last updated

Sep 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Serra, D.M.D., M.S.NPI 1740493907

Title

Member

Phone

(614) 451-1122

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Serra, D.M.D., M.S.

  • Periodontics
  • Lakewood Ranch, FL
  • NPI 1740493907
  NPD (past) Authorized official
• Ronald B Garvey, DDS

  • Periodontics
  • Columbus, OH
  • NPI 1124108907
  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1184958225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201802",
            "telephone_number": "614-451-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201802",
            "telephone_number": "614-451-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER COLUMBUS PERIODONTICS, LLC, RYAN J. SERRA, DMD, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-451-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "014666",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "023093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great River Connections Academy
• Great Value Home Medical Equipment, Inc.
• Greater Baltimore Eswt, LLC
• Greater Columbus Foot & Ankle Group
• Greater Columbus Otolaryngology, Head and Neck Surgery, Inc.
• Greater Columbus Regional Dialysis LLC
• Greater Columbus Sleep and Wellness
• Greater Hands Home Care Services LLC
• Dena Greathouse
• Igor I Grechukha

• Periodontics in Columbus, OH
• Providers in Columbus, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.