Individual provider Active NPI

Kevin S. Albert, DMD

  • Dentist
  • Columbus, OH
National Provider Identifier
1215211685
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.024163 Issued in OH
Practice address
4808 N. High Street
Columbus, OH 43214-1554
Phone
(614) 261-7210
Fax
(614) 261-7211
NPI assigned
Oct 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.028649 IL
General Practice Dentistry 1223G0001X 019028649 IL
Dentist 122300000X 30.024163 OH Primary

Addresses

Primary practice location

4808 N. High Street
Columbus, OH 43214-1554

Mailing address

4808 N. High Street
Columbus, OH 43214-1554
Phone (614) 261-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160106001214 OH Order and Referring Only - DentistPractitioner - Dentist 9032411103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024163OHMDDentist
019.028649ILMDGeneral Practice Dentistry
019028649ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Albert-Klabunde-Nameth Dental, LLC General Practice CurrentSince Sep 13, 2020 Accepting new patients

Locations

4808 N High St
Columbus, OH 43214
Phone (614) 261-7210

Organizations & group practices 1

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": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1215211685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 N. HIGH STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141554",
            "telephone_number": "614-261-7210",
            "fax_number": "614-261-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 N. HIGH STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141554",
            "telephone_number": "614-261-7210",
            "fax_number": "614-261-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "KEVIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028649",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028649",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.