NPIMap

Organization Active NPI

M. Alexandrunas, DMD, B. Mason, DDS, R. Gardner, DD-Dental 3, LLC

  • Dentist
  • Circleville, OH
National Provider Identifier
1245750439
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.022273 Issued in OH
Legal business name
M. ALEXANDRUNAS, DMD, B. MASON, DDS, R. GARDNER, DD-DENTAL 3, LLC
Doing business as
Premier Dental of Circleville
Practice address
1422 Circleville Plaza Dr
Circleville, OH 43113-2269
Phone
(740) 474-6900
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Mark Alexandrunas
Title
Owner/Dentist
Phone
(614) 425-9061

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.020068 OH
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.022273 OH Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.021763 OH
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1422 Circleville Plaza Dr
Circleville, OH 43113-2269

Mailing address

1422 Circleville Plaza Dr
Circleville, OH 43113-2269
Phone (614) 425-9059

Other names 1

  • Premier Dental of Circleville Doing business as

National Provider Directory

National Provider Directory

Locations

1422 Circleville Plaza Dr
Circleville, OH 43113
Phone (740) 474-6900

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1245750439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 CIRCLEVILLE PLAZA DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132269",
            "telephone_number": "614-425-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 CIRCLEVILLE PLAZA DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132269",
            "telephone_number": "740-474-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ALEXANDRUNAS, DMD, B. MASON, DDS, R. GARDNER, DD-DENTAL 3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRUNAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "614-425-9061"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.020068",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022273",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021763",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental of Circleville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.