Columbus Endodontic Specialists

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

COLUMBUS ENDODONTIC SPECIALISTS

Practice address

7334 E Broad St Ste C
Blacklick, OH 43004-9239

Phone

(614) 577-1100

Fax

(614) 577-1348

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa K Hunter

Title

Office Manager

Phone

(614) 577-1100

Specialties & licenses 1

Addresses

Other names 1

• John J Haidet,DDS,MS&Louis W. Susi,DDSMS.INC& Daniel S Stentz,DDS,MS. Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Haidet, DDS,MS

  • Endodontics
  • Blacklick, OH
  • NPI 1578654687
  NPD (past)
• Louis W Susi, DDS,MS

  • Endodontics
  • Blacklick, OH
  • NPI 1477688653
  NPD (past)

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1609421684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7334 E BROAD ST STE C",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049239",
            "telephone_number": "614-577-1100",
            "fax_number": "614-577-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 E BROAD ST STE C",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049239",
            "telephone_number": "614-577-1100",
            "fax_number": "614-577-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS ENDODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-577-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John J Haidet,DDS,MS&Louis W. Susi,DDSMS.INC& Daniel S Stentz,DDS,MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kara Clark, HOME HEALTH AGENCY
• Linda D Clossman, L.P.N.
• Angel A Colbert, LPN
• Brandon L. Collins Jr.
• Natalie Collins, CD, CPD
• Joseph Colvard
• Barbara Colvin-White
• Comfort Residential Care LLC
• Compassionate Pathways Group Home Services and Learning Center LLC
• Jeremy Cook

• Endodontics in Blacklick, OH
• Providers in Blacklick, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.