Individual provider Active NPI

Michael J Bezbatchenko, DDS

  • General Practice Dentistry
  • Westerville, OH
National Provider Identifier
1497879332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15998 Issued in OH
Practice address
149 W Schrock Rd
Westerville, OH 43081-2831
Phone
(614) 890-7734
Fax
(614) 890-4518
NPI assigned
Mar 17, 2007
Sex
Male
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
General Practice Dentistry 1223G0001X 15998 OH Primary

Addresses

Primary practice location

149 W Schrock Rd
Westerville, OH 43081-2831

Mailing address

149 W Schrock Rd
Westerville, OH 43081-2831
Phone (614) 890-7734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418001917 OH Order and Referring Only - Other (Non-Physician) 0042456568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15998OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio TMJD & Dental Sleep Therapy LLC CurrentSince Feb 25, 2013 Accepting new patients
Michael J. Bezbatchenko, D.D.S. Past Accepting new patients

Locations

149 W Schrock Rd
Westerville, OH 43081
Phone (614) 321-8229

Organizations & group practices 2

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": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497879332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812831",
            "telephone_number": "614-890-7734",
            "fax_number": "614-890-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812831",
            "telephone_number": "614-890-7734",
            "fax_number": "614-890-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZBATCHENKO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.