Individual provider Active NPI

Nicholas C. Coliadis, D.D.S.

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1316147051
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022327 Issued in OH
Practice address
5552 N Hamilton Rd
Columbus, OH 43230-1322
Phone
(614) 775-9820
NPI assigned
Jul 20, 2007
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-022327 OH Primary

Addresses

Primary practice location

5552 N Hamilton Rd
Columbus, OH 43230-1322

Mailing address

5552 N Hamilton Rd
Columbus, OH 43230-1322
Phone (614) 775-9820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30-022327OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1316147051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301322",
            "telephone_number": "614-775-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301322",
            "telephone_number": "614-775-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIADIS",
        "first_name": "NICHOLAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022327",
            "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 Jan 15, 2010; 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.