Columbus Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COLUMBUS ENDODONTICS

Practice address

3200 Middle Rd
Columbus, IN 47203-4426

Phone

(812) 372-3636

NPI assigned

Dec 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jordon C Jacobs, DDS, MSDNPI 1245644285

Title

Dentist

Phone

(812) 361-4051

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordon Jacobs, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1245644285
  NPD Authorized official
• Michael E. Keller, D.D.S., M.S.D.

  • Endodontics
  • Columbus, IN
  • NPI 1841409661
  NPD (past)

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720746357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 HOLLOW CT",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068503",
            "telephone_number": "812-361-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MIDDLE RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034426",
            "telephone_number": "812-372-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JORDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "812-361-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "12012180A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Counseling Center, LLC
• Columbus Counseling Partners, LLC
• Columbus Dental Corp
• Columbus Dental Smiles
• Columbus Diagnostic Imaging, LLC
• Columbus Family Dentistry Inc.
• Columbus Foot and Ankle Clinic, PC
• Columbus Hospital, LLC
• Columbus Hospital, LLC
• Columbus Indiana Clinical Pathology, LLC

• Dental Clinic/Center in Columbus, IN
• Providers in Columbus, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.