Individual provider Active NPI

Julia M Oneil-Johnson, DDS

  • Dentist
  • Columbus, OH
National Provider Identifier
1235164781
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19775 Issued in OH
Practice address
1180 E Main St
Columbus, OH 43205-1902
Phone
(614) 645-5535
Fax
(614) 645-5546
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19775 OH Primary

Addresses

Primary practice location

1180 E Main St
Columbus, OH 43205-1902

Mailing address

2780 Airport Dr Ste 100
Columbus, OH 43219-2289
Phone (614) 859-1906

Other identifiers 1

IdentifierTypeStateIssuer
0155157MedicaidOH

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
I20220729002904 OH Practitioner - Dentist 5597904755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19775OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1952882805 CurrentSince Sep 19, 2022 Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Sep 19, 2022 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Angelo Defalco Past Accepting new patients

Locations

L3318
Columbus, OH 43260

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

Organizations & group practices 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1235164781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-859-1906",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051902",
            "telephone_number": "614-645-5535",
            "fax_number": "614-645-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEIL-JOHNSON",
        "first_name": "JULIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155157",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.