Organization Active NPI

Jason T. Culley D.D.S. Inc

Doing business as Watermark Dental

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1578747572
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.021745 Issued in OH
Legal business name
JASON T. CULLEY D.D.S. INC
Doing business as
Watermark Dental
Practice address
1225 Dublin Rd
Columbus, OH 43215-1024
Phone
(614) 488-9050
Fax
(614) 488-9120
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Jason T. Culley, D.D.S.NPI 1013957299
Title
President
Phone
(614) 488-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.021745 OH Primary

Addresses

Primary practice location

1225 Dublin Rd
Columbus, OH 43215-1024

Mailing address

1225 Dublin Rd
Columbus, OH 43215-1024
Phone (614) 488-9050

Other names 1

  • Watermark Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1225 Dublin Rd
Columbus, OH 43215
Phone (614) 488-9050

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1578747572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151024",
            "telephone_number": "614-488-9050",
            "fax_number": "614-488-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151024",
            "telephone_number": "614-488-9050",
            "fax_number": "614-488-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T. CULLEY D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "CULLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-488-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watermark Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 27, 2007; 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.