Organization Active NPI

East Main Dental

  • General Practice Dentistry
  • Reynoldsburg, OH
National Provider Identifier
1356733240
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30022385 Issued in OH
Legal business name
EAST MAIN DENTAL
Practice address
6810 E Main St
Reynoldsburg, OH 43068-2268
Phone
(614) 866-6338
Fax
(614) 575-9514
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Dr. Neeru Sharma, DDS, MS
Title
Owner
Phone
(614) 866-6338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30022385 OH Primary

Addresses

Primary practice location

6810 E Main St
Reynoldsburg, OH 43068-2268

Mailing address

6810 E Main St
Reynoldsburg, OH 43068-2268
Phone (614) 866-6338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1356733240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 E MAIN ST",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682268",
            "telephone_number": "614-866-6338",
            "fax_number": "614-575-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 E MAIN ST",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682268",
            "telephone_number": "614-866-6338",
            "fax_number": "614-575-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MAIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "NEERU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-866-6338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.