Organization Active NPI

Justin D. Shiflett, DDS, Inc.

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1699319509
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JUSTIN D. SHIFLETT, DDS, INC.
Practice address
3805 N High St Ste 207
Columbus, OH 43214-3539
Phone
(740) 703-9445
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Justin Shiflett, DDSNPI 1295182483
Title
President
Phone
(740) 703-9445

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3805 N High St Ste 207
Columbus, OH 43214-3539

Mailing address

3805 N High St Ste 207
Columbus, OH 43214-3539
Phone (740) 703-9445

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA Other

National Provider Directory

National Provider Directory

Locations

3805 N High St
Ste 207
Columbus, OH 43214
Phone (614) 262-1807

Practitioners & affiliated clinicians

Practitioners 1

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1699319509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 N HIGH ST STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143539",
            "telephone_number": "740-703-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 N HIGH ST STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143539",
            "telephone_number": "740-703-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN D. SHIFLETT, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "SHIFLETT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-703-9445",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "3805 N High St Ste 207",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 4, 2019; 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.