NPIMap

Organization Active NPI

Trillium Dental Group, Inc

  • Dentist
  • Columbus, OH
National Provider Identifier
1508220138
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023781 Issued in OH
Legal business name
TRILLIUM DENTAL GROUP, INC
Practice address
41 S High St
Suite 230
Columbus, OH 43215-6170
Phone
(614) 782-1107
NPI assigned
Apr 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Authorized official

Name
Sarah K Mladineo, DMD
Title
Dentist/Owner
Phone
(614) 782-1107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.023781 OH Primary

Addresses

Primary practice location

41 S High St
Suite 230
Columbus, OH 43215-6170

Mailing address

41 S High St
Suite 230
Columbus, OH 43215-6170
Phone (614) 782-1107

National Provider Directory

National Provider Directory

Locations

41 S High St
Ste 230
Columbus, OH 43215
Phone (614) 782-1107

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460160000000",
    "number": "1508220138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S HIGH ST",
            "address_2": "SUITE 230",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432156170",
            "telephone_number": "614-782-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S HIGH ST",
            "address_2": "SUITE 230",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432156170",
            "telephone_number": "614-782-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A",
        "authorized_official_last_name": "MLADINEO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "614-782-1107",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023781",
            "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 Apr 9, 2016; 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.