Organization Active NPI

Nicholas M Kerns DDS LLC

  • Pediatric Dentistry
  • Hilliard, OH
National Provider Identifier
1265101000
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NICHOLAS M KERNS DDS LLC
Practice address
5138 Norwich St
Hilliard, OH 43026-1442
Phone
(614) 876-5500
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Dr. Nicholas Matthew Kerns, DDSNPI 1174820468
Title
Owner
Phone
(330) 475-9837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5138 Norwich St
Hilliard, OH 43026-1442

Mailing address

1890 Willow Forge Dr
Columbus, OH 43220-4475
Phone (330) 475-9837

Other names 1

  • Hilliard Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5138 Norwich St
Hilliard, OH 43026
Phone (614) 876-5500

Practitioners & affiliated clinicians

Practitioners 4

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": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1265101000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 WILLOW FORGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204475",
            "telephone_number": "330-475-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 NORWICH ST",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261442",
            "telephone_number": "614-876-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS M KERNS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-475-9837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilliard Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.