Active NPI
Andrew B Wade DDS Ms LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Columbus, OH
National Provider Identifier
1629133814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 20722
- Legal business name
- ANDREW B WADE DDS MS LLC
- Practice address
- 5249 West Broad Street
Columbus, OH 43204 - Phone
- (614) 878-7887
- Fax
- (614) 878-4134
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew B Wade, DDS MS LLC
- Title
- President
- Phone
- (614) 878-7887
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 20722 | OH | Primary |
Addresses
Primary practice location
5249 West Broad Street
Columbus, OH 43204
Mailing address
5249 West Broad Street
Columbus, OH 43204
Phone (614) 878-7887
National Provider Directory
National Provider DirectoryLocations
5249 W Broad St
Columbus, OH 43228
Phone (614) 878-7887
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Columbus, OH
- NPI 1518163690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629133814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 WEST BROAD STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43204",
"telephone_number": "614-878-7887",
"fax_number": "614-878-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 WEST BROAD STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43204",
"telephone_number": "614-878-7887",
"fax_number": "614-878-4134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW B WADE DDS MS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-878-7887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MS LLC"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "20722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 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.