Organization Active NPI

Salt & Light Dental, LLC

  • General Practice Dentistry
  • Westerville, OH
National Provider Identifier
1548968308
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SALT & LIGHT DENTAL, LLC
Practice address
130 Wetherby LN
Westerville, OH 43081-4957
Phone
(614) 890-6606
Fax
(614) 394-8685
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SHK DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Seung KimNPI 1174829857
Title
Owner Dentist
Phone
(614) 537-5142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

130 Wetherby LN
Westerville, OH 43081-4957

Mailing address

130 Wetherby LN
Westerville, OH 43081-4957

National Provider Directory

National Provider Directory
Part of
SHK Dental LLC

Locations

130 Wetherby Ln
Westerville, OH 43081
Phone (614) 394-8688

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1548968308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WETHERBY LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WETHERBY LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814957",
            "telephone_number": "614-890-6606",
            "fax_number": "614-394-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT & LIGHT DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHK DENTAL LLC",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "614-537-5142"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.