Organization Active NPI

Capitol Square Dental of Columbus

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1750105227
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAPITOL SQUARE DENTAL OF COLUMBUS
Practice address
212 S High St
Columbus, OH 43215-4502
Phone
(614) 461-4600
Fax
(614) 789-9012
NPI assigned
Nov 12, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Mehrdad Safavian, DDSNPI 1285942052
Title
Owner Dentist
Phone
(614) 789-9000

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

212 S High St
Columbus, OH 43215-4502

Mailing address

6748 Ballantrae PL
Dublin, OH 43016-6024
Phone (614) 461-4600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1750105227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6748 BALLANTRAE PL",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166024",
            "telephone_number": "614-461-4600",
            "fax_number": "614-789-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154502",
            "telephone_number": "614-461-4600",
            "fax_number": "614-789-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL SQUARE DENTAL OF COLUMBUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SAFAVIAN",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "614-789-9000",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "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 12, 2024; 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.