NPIMap

Organization Active NPI

Ohio Dental Professionals Workman, PC

Doing business as Pickerington Family Dental

  • General Practice Dentistry
  • Pickerington, OH
National Provider Identifier
1629298948
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OHIO DENTAL PROFESSIONALS WORKMAN, PC
Doing business as
Pickerington Family Dental
Practice address
164 Clint Drive
Pickerington, OH 43147
Phone
(614) 367-1740
Fax
(614) 367-1760
NPI assigned
Apr 27, 2007
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO DENTAL PROFESSIONALS WORKMAN, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

164 Clint Drive
Pickerington, OH 43147

Mailing address

164 Clint Drive
Pickerington, OH 43147
Phone (614) 367-1740

Other names 1

  • Pickerington Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of Ohiorichard E Workman DMD PC39 organizations share this tax ID, including this one
Part of
Heartland Dental Care of Ohiorichard E Workman DMD PC

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

164 Clint Dr
Pickerington, OH 43147
Phone (614) 367-1740

Practitioners & affiliated clinicians

Practitioners 5

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1629298948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 CLINT DRIVE",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "614-367-1740",
            "fax_number": "614-367-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CLINT DRIVE",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "614-367-1740",
            "fax_number": "614-367-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO DENTAL PROFESSIONALS WORKMAN, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO DENTAL PROFESSIONALS WORKMAN, PC",
        "enumeration_date": "2007-04-27",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickerington Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.