NPIMap

Organization Active NPI

Walnut Creek Dental East, Michael Pappas, DDS, LLC

  • Dentist
  • Groveport, OH
National Provider Identifier
1194370494
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WALNUT CREEK DENTAL EAST, MICHAEL PAPPAS, DDS, LLC
Practice address
3803 S Hamilton Rd
Groveport, OH 43125-9330
Phone
(614) 864-2466
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Michael Pappas, DDSNPI 1750770020
Title
President
Phone
(614) 864-7466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3803 S Hamilton Rd
Groveport, OH 43125-9330

Mailing address

1387 Leesburg Ave
Washington Court House, OH 43160-8655
Phone (740) 333-7290

Other names 2

  • Walnut Creek Dental East Doing business as
  • Walnut Creek Dental East Michael Pappas, DDS, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@wchdental.com Direct

National Provider Directory

National Provider Directory

Locations

3803 S Hamilton Rd
Groveport, OH 43125
Phone (614) 864-2466

Practitioners & affiliated clinicians

Practitioners 3

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": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1194370494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 LEESBURG AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431608655",
            "telephone_number": "740-333-7290",
            "fax_number": "740-333-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 S HAMILTON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259330",
            "telephone_number": "614-864-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK DENTAL EAST, MICHAEL PAPPAS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-864-7466",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@wchdental.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3803 S Hamilton Rd",
            "city": "Groveport",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431259330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Walnut Creek Dental East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walnut Creek Dental East Michael Pappas, DDS, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Walnut Creek Dental East Michael Pappas, DDS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Groveport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.