Individual provider Active NPI

Katherine Dunbar Pafford, D.M.D.

  • Dentist
  • Columbus, OH
National Provider Identifier
1417172677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013094 Issued in GA
Practice address
305 W 12TH Ave
Postle Hall
Columbus, OH 43210-1267
Phone
(614) 292-2622
Fax
(614) 292-4522
NPI assigned
Apr 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN013094 GA Primary

Addresses

Primary practice location

305 W 12TH Ave
Postle Hall
Columbus, OH 43210-1267

Mailing address

158 Acton Rd
Columbus, OH 43214-3304
Phone (614) 732-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150824000397 GA Order and Referring Only - DentistPractitioner - Other (Physician)Practitioner - Dentist 3577878339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN013094GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417172677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ACTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143304",
            "telephone_number": "614-732-4008",
            "fax_number": "614-292-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE",
            "address_2": "POSTLE HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-292-2622",
            "fax_number": "614-292-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAFFORD",
        "first_name": "KATHERINE",
        "middle_name": "DUNBAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.