Individual provider Active NPI

Andree-Anne Page

  • Pediatric Dentistry
  • Columbus, OH
National Provider Identifier
1417367533
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.24881 Issued in OH
Practice address
5715 N Hamilton Rd
Columbus, OH 43230-1325
Phone
(614) 475-5439
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30.24881 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5715 N Hamilton Rd
Columbus, OH 43230-1325

Mailing address

5715 N Hamilton Rd
Columbus, OH 43230-1325
Phone (614) 475-5439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.24881OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Page Pediatric Dentistry Pediatric Dentistry CurrentSince May 10, 2020 Accepting new patients

Locations

5699 Innovation Dr
Dublin, OH 43016
Phone (614) 215-9488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1417367533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301325",
            "telephone_number": "614-475-5439",
            "fax_number": "614-476-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301325",
            "telephone_number": "614-475-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ANDREE-ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.24881",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 20, 2017; 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.