NPIMap

Organization Active NPI

North Street Dental

  • General Practice Dentistry
  • Worthington, OH
National Provider Identifier
1720444748
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19950 Issued in OH
Legal business name
NORTH STREET DENTAL
Practice address
43 E North St
Worthington, OH 43085-4027
Phone
(614) 885-7714
Fax
(614) 885-0395
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Sarah Elizabeth Conroy, DDS
Title
Owner
Phone
(614) 565-3294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19950 OH Primary

Addresses

Primary practice location

43 E North St
Worthington, OH 43085-4027

Mailing address

43 E North St
Worthington, OH 43085-4027
Phone (614) 885-7714

National Provider Directory

National Provider Directory

Locations

43 E North St
Worthington, OH 43085
Phone (614) 885-6212

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1720444748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E NORTH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854027",
            "telephone_number": "614-885-7714",
            "fax_number": "614-885-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E NORTH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854027",
            "telephone_number": "614-885-7714",
            "fax_number": "614-885-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-565-3294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.