Peter J. Ahn, D.D.S., LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETER J. AHN, D.D.S., LLC

Practice address

5274 Cleveland Ave
Columbus, OH 43231-4781

Phone

(614) 426-4554

Fax

(614) 426-4556

NPI assigned

Jun 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Peter Junsun Ahn, D.D.S.

Title

Dentist

Phone

(614) 426-4554

Specialties & licenses 1

Addresses

Other names 1

• Community Dental at Minerva Park Doing business as

Locations

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1730527102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314781",
            "telephone_number": "614-426-4554",
            "fax_number": "614-426-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5274 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314781",
            "telephone_number": "614-426-4554",
            "fax_number": "614-426-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. AHN, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JUNSUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "614-426-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Dental at Minerva Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Joseph Perugini III, DO
• Wendy M Pesante, CDCA
• Todd E Pesavento, M.D.
• Benjamin W Pester, ATC
• Hayden Petee, LPC
• Conrod O Peterkin, LPN
• Anne Cecilia Peters
• Brittany Nicole Peters, CNP
• Connie M Peters, LISW
• Emily A Peters, LD

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.