Gehan Emara Jallaq, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30022243 Issued in OH

Practice address

4206 Westview Center PLZ
Columbus, OH 43228-2975

Phone

(614) 275-0800

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Gehan E. Jallaq DDS Whitehall LLC

  • Dental Clinic/Center
  • Columbus, OH
  • NPI 1467009100
  NPD Authorized official
• Gehan Emara Jallaq DDS LLC

  • Dentist
  • Columbus, OH
  • NPI 1336504869
  NPD

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1295902484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 WESTVIEW CENTER PLZ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282975",
            "telephone_number": "614-275-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 WESTVIEW CENTER PLZ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282975",
            "telephone_number": "614-275-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Woodman Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454321400",
            "country_code": "US",
            "telephone_number": "937-252-2000 x264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALLAQ",
        "first_name": "GEHAN",
        "middle_name": "EMARA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2592583",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "COLUMBUS",
            "affiliation": "N",
            "endpointDescription": "dentistry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4206 Westview Center Plz",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432282975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "COLUMBUS",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "COLUMBUS",
            "address_1": "4206 Westview Center Plz",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432282975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachael Jakubowski, LMT
• Gary Jakupcin, D.D.S.
• Tulasi Jaladi
• Amy Jalbuena
• Anahita D Jalilvand, MD
• Amadu Jalloh
• Amy Jalloh, RN
• Haja Jalloh
• Khadijah Jalufa Jalloh
• Lawratu B Jalloh, FNP

• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.