Active NPI
Meckler Dental Providers (Reynoldsburg), Inc.
- General Practice Dentistry
- Reynoldsburg, OH
National Provider Identifier
1669711537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MECKLER DENTAL PROVIDERS (REYNOLDSBURG), INC.
- Practice address
- 2965 Taylor Road Ext
Reynoldsburg, OH 43068-9483 - Phone
- (614) 866-1960
- Fax
- (216) 584-1083
- NPI assigned
- Feb 12, 2013
- Organization subpart
- Yes
- Parent organization
- DENTALONE PARTNERS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Nittinger
- Title
- Manager Credentialing
- Phone
- (972) 755-0816
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Periodontics | 1223P0300X | |||
| Prosthodontics | 1223P0700X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
2965 Taylor Road Ext
Reynoldsburg, OH 43068-9483
Mailing address
7160 North Dallas Parkway St 400
Plano, TX 75024-7145
Other names 1
- DentalWorks of Reynoldsburg
National Provider Directory
National Provider DirectoryLocations
2965 Taylor Road Ext
Reynoldsburg, OH 43068
Phone (614) 866-1960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Plain City, OH
- NPI 1346600855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521504000000",
"number": "1669711537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 NORTH DALLAS PARKWAY ST 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750247145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 TAYLOR ROAD EXT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430689483",
"telephone_number": "614-866-1960",
"fax_number": "216-584-1083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MECKLER DENTAL PROVIDERS (REYNOLDSBURG), INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
"enumeration_date": "2013-02-12",
"last_updated": "2018-03-20",
"status": "A",
"authorized_official_last_name": "NITTINGER",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "MANAGER CREDENTIALING",
"authorized_official_telephone_number": "972-755-0816"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DentalWorks of Reynoldsburg",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DentalWorks of Reynoldsburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.