NPIMap

Organization Active NPI

Jeffrey L. Wilden D.D.S.,Inc.

  • Dentist
  • Columbus, OH
National Provider Identifier
1336286129
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEFFREY L. WILDEN D.D.S.,INC.
Practice address
1531 W Broad St
Columbus, OH 43222-1043
Phone
(614) 351-0555
Fax
(614) 351-0763
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Jeffrey L Wilden, D.D.S.NPI 1952448839
Title
Officer
Phone
(614) 351-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19204 OH

Addresses

Primary practice location

1531 W Broad St
Columbus, OH 43222-1043

Mailing address

1531 W Broad St
Columbus, OH 43222-1043
Phone (614) 351-0555

Other identifiers 1

IdentifierTypeStateIssuer
2272777MedicaidOH

Other names 1

  • franklinton dental group Doing business as

National Provider Directory

National Provider Directory

Locations

1531 W Broad St
Columbus, OH 43222
Phone (614) 351-0555

Practitioners & affiliated clinicians

Practitioners 4

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1336286129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221043",
            "telephone_number": "614-351-0555",
            "fax_number": "614-351-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221043",
            "telephone_number": "614-351-0555",
            "fax_number": "614-351-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. WILDEN D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "WILDEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "614-351-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "franklinton dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 8, 2011; 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.