Organization Active NPI

Vinod Miriyala, DDS, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Worthington, OH
National Provider Identifier
1316519044
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
VINOD MIRIYALA, DDS, INC.
Practice address
510 E Wilson Bridge Rd Ste E
Worthington, OH 43085-2373
Phone
(877) 789-8583
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Vinod Miriyala, MD
Title
Ceo
Phone
(614) 401-4415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X

Addresses

Primary practice location

510 E Wilson Bridge Rd Ste E
Worthington, OH 43085-2373

Mailing address

118 Graceland Blvd # 324
Columbus, OH 43214-1530
Phone (877) 789-8583

Other names 1

  • OFFOR Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

510 E Wilson Bridge Rd
Ste E
Worthington, OH 43085
Phone (614) 326-3900

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1316519044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GRACELAND BLVD # 324",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141530",
            "telephone_number": "877-789-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E WILSON BRIDGE RD STE E",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852373",
            "telephone_number": "877-789-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINOD MIRIYALA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "MIRIYALA",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-401-4415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OFFOR Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OFFOR Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.