NPIMap

Organization Active NPI

Fredric a Kaufman DDS, Inc

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1275735854
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15295 Issued in OH
Legal business name
FREDRIC A KAUFMAN DDS, INC
Practice address
3040 E Main St
Columbus, OH 43209-2619
Phone
(614) 231-4527
Fax
(614) 231-5525
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fredric Andrew Kaufman, DDSNPI 1285764571
Title
Owner
Phone
(614) 231-4527

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15295 OH Primary

Addresses

Primary practice location

3040 E Main St
Columbus, OH 43209-2619

Mailing address

3040 E Main St
Columbus, OH 43209-2619
Phone (614) 231-4527

Other identifiers 1

IdentifierTypeStateIssuer
0348618MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275735854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092619",
            "telephone_number": "614-231-4527",
            "fax_number": "614-231-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092619",
            "telephone_number": "614-231-4527",
            "fax_number": "614-231-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC A KAUFMAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-231-4527",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348618",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.