Judis Alum Creek Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

19680 Issued in OH

Legal business name

JUDIS ALUM CREEK DENTAL CARE

Practice address

4016 Alum Creek Dr
Columbus, OH 43207-5137

Phone

(614) 409-9404

Fax

(614) 409-2992

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary M Judis, DDS

Title

Owner

Phone

(614) 409-9404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angie M. Weber, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1184813917
  NPD (past)

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1225365901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432075137",
            "telephone_number": "614-409-9404",
            "fax_number": "614-409-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432075137",
            "telephone_number": "614-409-9404",
            "fax_number": "614-409-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDIS ALUM CREEK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "JUDIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-409-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "19680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael James Gibson Juby, DO
• Peggy Judd - Massie
• Adam Judd
• Carla Marie Jude, LPN
• Yvonne Judge
• Judis Alumcreek Dental
• Sydney Nicole Judkins
• Ashley Judson, RD
• Chelsea Anne Judson, LPC
• Monique Christine Judy, CNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.