NPIMap

Organization Active NPI

John J. Dubos, D.D.S., Inc.

  • General Practice Dentistry
  • Grove City, OH
National Provider Identifier
1619090552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21586 Issued in OH
Legal business name
JOHN J. DUBOS, D.D.S., INC.
Practice address
2655 Columbus St
Grove City, OH 43123-2804
Phone
(614) 875-6601
Fax
(614) 875-0838
NPI assigned
Apr 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John J Dubos, DDS
Title
President
Phone
(614) 875-6601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 21586 OH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15233 OH

Addresses

Primary practice location

2655 Columbus St
Grove City, OH 43123-2804

Mailing address

2655 Columbus St
Grove City, OH 43123-2804
Phone (614) 875-6601

National Provider Directory

National Provider Directory

Locations

2655 Columbus St
Grove City, OH 43123
Phone (614) 875-6601

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619090552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 COLUMBUS ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232804",
            "telephone_number": "614-875-6601",
            "fax_number": "614-875-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 COLUMBUS ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232804",
            "telephone_number": "614-875-6601",
            "fax_number": "614-875-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. DUBOS, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-875-6601",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21586",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.