Organization Active NPI

Fixari Childrens Dental LLC

  • Dentist
  • Columbus, OH
National Provider Identifier
1326412347
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18642 Issued in OH
Legal business name
FIXARI CHILDRENS DENTAL LLC
Practice address
4241 Kimberly Pkwy
Columbus, OH 43232-7225
Phone
(614) 866-7445
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Dr. Mark F Fixari, DDS
Title
President
Phone
(614) 866-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18642 OH Primary

Addresses

Primary practice location

4241 Kimberly Pkwy
Columbus, OH 43232-7225

Mailing address

4241 Kimberly Pkwy
Columbus, OH 43232-7225
Phone (614) 866-7445

Other identifiers 1

IdentifierTypeStateIssuer
18642OtherOHDENTAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1326412347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 KIMBERLY PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327225",
            "telephone_number": "614-866-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 KIMBERLY PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327225",
            "telephone_number": "614-866-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIXARI CHILDRENS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "FIXARI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-866-7445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "18642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "18642",
            "state": "OH"
        }
    ],
    "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 Nov 16, 2015; 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.