Active NPI
Balsam Alhwaidi
- General Practice Dentistry
- Upper Arlington, OH
National Provider Identifier
1194647693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.028625
- Practice address
- 2025 Henderson Rd Ste 80
Upper Arlington, OH 43220-2459 - Phone
- (614) 602-5375
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.028625 | OH | Primary |
Addresses
Primary practice location
2025 Henderson Rd Ste 80
Upper Arlington, OH 43220-2459
Mailing address
5266 Timberline Rd
Columbus, OH 43220-2357
Phone (419) 322-6926
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1194647693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5266 TIMBERLINE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202357",
"telephone_number": "419-322-6926",
"fax_number": "419-322-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 HENDERSON RD STE 80",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432202459",
"telephone_number": "614-602-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHWAIDI",
"first_name": "BALSAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.028625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Arlington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.