Organization Active NPI

High Street Dental Dr. Joshua Clark DDS LLC.

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1285778712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30022400 Issued in OH
Legal business name
HIGH STREET DENTAL DR. JOSHUA CLARK DDS LLC.
Practice address
3232 N High St
Columbus, OH 43202-1114
Phone
(614) 268-4480
Fax
(614) 268-4460
NPI assigned
Feb 17, 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
Dr. Joshua Alan Clark, DDS
Title
Officer
Phone
(614) 268-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30022400 OH Primary

Addresses

Primary practice location

3232 N High St
Columbus, OH 43202-1114

Mailing address

3232 N High St
Columbus, OH 43202-1114
Phone (614) 268-4480

National Provider Directory

National Provider Directory

Locations

3232 N High St
Columbus, OH 43202
Phone (614) 268-4480

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285778712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021114",
            "telephone_number": "614-268-4480",
            "fax_number": "614-268-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021114",
            "telephone_number": "614-268-4480",
            "fax_number": "614-268-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH STREET DENTAL DR. JOSHUA CLARK DDS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "614-268-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022400",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.