Individual provider Active NPI

Michael Pappas, D.D.S.

  • Dentist
  • Washington Court House, OH
National Provider Identifier
1750770020
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-024369 Issued in OH
Practice address
1387 Leesburg Ave
Washington Court House, OH 43160-8655
Phone
(740) 333-7290
NPI assigned
Jan 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024369 OH Primary

Addresses

Primary practice location

1387 Leesburg Ave
Washington Court House, OH 43160-8655

Mailing address

1387 Leesburg Ave
Washington Court House, OH 43160-8655
Phone (740) 333-7290

Other practice location 1

4241 Kimberly Pkwy
Columbus, OH 43232-7225
Phone (614) 866-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30-024369OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fixari Childrens Dental LLC Dentist Past Accepting new patients
Walnut Creek Dental East, Michael Pappas, DDS, LLC Dentist PastSince Aug 11, 2019 Accepting new patients
Fixari Family Dental LLC Dentist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1750770020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 LEESBURG AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431608655",
            "telephone_number": "740-333-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 LEESBURG AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431608655",
            "telephone_number": "740-333-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4241 Kimberly Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432327225",
            "country_code": "US",
            "telephone_number": "614-866-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.