Individual provider Active NPI

Sloan Gardiner Lanctot, D.D.S.

  • Endodontics
  • Worthington, OH
National Provider Identifier
1205892775
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401413072 Issued in VA
Practice address
6827 N High St Ste 115
Worthington, OH 43085-2517
Phone
(614) 885-1191
Fax
(614) 885-0677
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401413072 VA Primary

Addresses

Primary practice location

6827 N High St Ste 115
Worthington, OH 43085-2517

Mailing address

6827 N High St Ste 115
Worthington, OH 43085-2517
Phone (614) 885-1191

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

State licenses

LicenseStateTypeSpecialty
0401413072VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Endodontics Endodontics PastSince Apr 9, 2024 Accepting new patients
Nova Microendodontics Endodontics PastSince Feb 1, 2022 Accepting new patients
BDG Specialty LLC Endodontics PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1205892775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 N HIGH ST STE 115",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852517",
            "telephone_number": "614-885-1191",
            "fax_number": "614-885-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 N HIGH ST STE 115",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852517",
            "telephone_number": "614-885-1191",
            "fax_number": "614-885-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCTOT",
        "first_name": "SLOAN",
        "middle_name": "GARDINER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401413072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.