Individual provider Active NPI

Gregory Mark Ness, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Columbus, OH
National Provider Identifier
1528037413
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
30.019063 Issued in OH
Practice address
1161 Bethel Rd Ste 303
Columbus, OH 43220-2773
Phone
(614) 457-9337
Fax
(614) 456-7551
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8588 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.019063 OH
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 30.019063 OH Primary

Addresses

Primary practice location

1161 Bethel Rd Ste 303
Columbus, OH 43220-2773

Mailing address

1151 Bethel Rd Ste 104
Columbus, OH 43220-2775
Phone (614) 457-9337

Other practice location 1

10236 Sawmill Pkwy
Powell, OH 43065-9189
Phone (614) 457-9337

Other practice location 2

305 W. 12th Ave.
Suite 2110
Columbus, OH 43210-1267
Phone (614) 292-5144

Other practice location 3

700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-5651

Other practice location 4

3055 Columbus St
Grove City, OH 43123-2751
Phone (614) 457-9337

Other identifiers 2

IdentifierTypeStateIssuer
010217215MedicaidVA
0886215MedicaidOH

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000520 OH Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3870521123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1161 Bethel Rd
Suite 303
Columbus, OH 43220-2773
Phone (614) 457-9337

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.019063OHMDOral and Maxillofacial Surgery (Dentist)
8588VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Facial Surgery for Adults & Children LLC Oral and Maxillofacial Surgery CurrentSince Apr 1, 2022 Accepting new patients
Oral Pathology Consultants Laboratory, LLC Current Accepting new patients
Grove City Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Ohio State Dental Faculty Practice Inc CurrentSince Sep 25, 2011 Accepting new patients
Dentistry Vcu Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

305 W 12th Ave
Columbus, OH 43210
Phone (614) 292-1472

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1151 Bethel Rd
Ste 104A
Columbus, OH 43220

305 W 12th Ave
Ste 2110
Columbus, OH 43210
Phone (614) 292-2212

1151 Bethel Rd
Ste 104
Columbus, OH 43220

1161 Bethel Rd
Ste 303
Columbus, OH 43220
Phone (614) 442-2600

3055 Columbus St
Grove City, OH 43123
Phone (614) 457-9337

10236 Sawmill Pkwy
Powell, OH 43065
Phone (614) 457-9337

257 W Granville St
Sunbury, OH 43074
Phone (614) 457-9337

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1528037413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BETHEL RD STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-457-9337",
            "fax_number": "614-705-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD STE 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-457-9337",
            "fax_number": "614-456-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10236 Sawmill Pkwy",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430659189",
            "country_code": "US",
            "telephone_number": "614-457-9337",
            "fax_number": "614-798-9576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W. 12th Ave.",
            "address_2": "Suite 2110",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-292-5144",
            "fax_number": "614-292-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052639",
            "country_code": "US",
            "telephone_number": "614-722-5651",
            "fax_number": "614-355-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 Columbus St",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232751",
            "country_code": "US",
            "telephone_number": "614-457-9337",
            "fax_number": "614-705-1867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESS",
        "first_name": "GREGORY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "8588",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.019063",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30.019063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010217215",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.