Individual provider Active NPI

Jessica Lindamood, DDS

  • Dentist
  • Columbus, OH
National Provider Identifier
1609432780
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025742 Issued in OH
Practice address
1151 Bethel Rd Ste 301
Columbus, OH 43220-2775
Phone
(614) 459-3229
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.025742 OH Primary

Addresses

Primary practice location

1151 Bethel Rd Ste 301
Columbus, OH 43220-2775

Mailing address

1151 Bethel Rd Ste 301
Columbus, OH 43220-2775
Phone (614) 459-3229

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923002612 OH Order and Referring Only - DentistPractitioner - Dentist 3476883166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025742OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1609432780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BETHEL RD STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-459-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BETHEL RD STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-459-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAMOOD",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.