NPIMap

Organization Active NPI

Creative Smiles Inc

  • Dentist
  • Columbus, OH
National Provider Identifier
1710222872
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30021908 Issued in OH
Legal business name
CREATIVE SMILES INC
Practice address
3600 Olentangy River Rd
Suite #483-a
Columbus, OH 43214-3437
Phone
(614) 459-7766
Fax
(614) 459-0171
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Eric Buck, DDS
Title
Owner
Phone
(614) 459-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30021908 OH Primary

Addresses

Primary practice location

3600 Olentangy River Rd
Suite #483-a
Columbus, OH 43214-3437

Mailing address

3600 Olentangy River Rd
Suite #483-a
Columbus, OH 43214-3437
Phone (614) 459-7766

National Provider Directory

National Provider Directory

Locations

3600 Olentangy River Rd
Ste 483A
Columbus, OH 43214
Phone (614) 459-7766

Practitioners & affiliated clinicians

Practitioners 1

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": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1710222872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD",
            "address_2": "SUITE #483-A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-459-7766",
            "fax_number": "614-459-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD",
            "address_2": "SUITE #483-A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-459-7766",
            "fax_number": "614-459-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-459-7766",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021908",
            "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 Nov 30, 2012; 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.