NPIMap

Organization Active NPI

Gehan Emara Jallaq DDS LLC

  • Dentist
  • Columbus, OH
National Provider Identifier
1336504869
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30022243 Issued in OH
Legal business name
GEHAN EMARA JALLAQ DDS LLC
Practice address
4206 Westview Center PLZ
Columbus, OH 43228-2975
Phone
(614) 275-0800
Fax
(614) 275-0804
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Gehan Emara Jallq
Title
Owner
Phone
(614) 275-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30022243 OH Primary

Addresses

Primary practice location

4206 Westview Center PLZ
Columbus, OH 43228-2975

Mailing address

4206 Westview Center PLZ
Columbus, OH 43228-2975
Phone (614) 275-0800

National Provider Directory

National Provider Directory

Locations

4206 Westview Center Plz
Columbus, OH 43228
Phone (614) 275-0800

Practitioners & affiliated clinicians

Practitioners 3

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1336504869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 WESTVIEW CENTER PLZ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282975",
            "telephone_number": "614-275-0800",
            "fax_number": "614-275-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 WESTVIEW CENTER PLZ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282975",
            "telephone_number": "614-275-0800",
            "fax_number": "614-275-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEHAN EMARA JALLAQ DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "EMARA JALLQ",
        "authorized_official_first_name": "GEHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-275-0800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022243",
            "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 Dec 29, 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.