Columbus Pediatric Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COLUMBUS PEDIATRIC DENTISTRY, P.C.

Practice address

3158 N National Rd
Columbus, IN 47201-3170

Phone

(812) 376-0166

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prof. Marvin V Pavlov, J.D.

Title

C.E.O.

Phone

(812) 376-0166

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hayley Heckman Pavlov, D.M.D., M.S.D.

  • Pediatric Dentistry
  • Columbus, IN
  • NPI 1730298571
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326254111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 N NATIONAL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013170",
            "telephone_number": "812-376-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 N NATIONAL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013170",
            "telephone_number": "812-376-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAVLOV",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "812-376-0166",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Hospital, LLC (Columbus Behaviorial Center for Children and Adolescents)
• Columbus Indiana Clinical Pathology, LLC
• Columbus MC Care Properties, LLC
• Columbus Optical Service Inc.
• Columbus Oral & Maxillofacial Surgery PSC
• Columbus Perio LLC (Columbus Center for Periodontics and Dental Implants)
• Columbus Physicians Associates PC
• Columbus Radiology Inc
• Columbus Radiology Physicians LLC
• Columbus Regional Health Phyisicans, LLC

• Pediatric Dentistry in Columbus, IN
• Providers in Columbus, IN by specialty
• Pediatric Dentistry in Indiana

• 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.