NPIMap

Organization Active NPI

Columbus Family Dentistry Inc.

  • General Practice Dentistry
  • Columbus, IN
National Provider Identifier
1780858928
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009878A Issued in IN
Legal business name
COLUMBUS FAMILY DENTISTRY INC.
Practice address
4020 W Goeller Blvd
Suite a
Columbus, IN 47201-8273
Phone
(812) 342-0766
Fax
(812) 342-2427
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Mathew Anthony Negrelli, D.D.S.
Title
Doctor/Owner
Phone
(812) 342-0766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009878A IN Primary

Addresses

Primary practice location

4020 W Goeller Blvd
Suite a
Columbus, IN 47201-8273

Mailing address

4020 W Goeller Blvd
Suite a
Columbus, IN 47201-8273
Phone (812) 342-0766

National Provider Directory

National Provider Directory

Locations

4020 W Goeller Blvd
Ste A
Columbus, IN 47201
Phone (812) 342-0766

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1780858928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W GOELLER BLVD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018273",
            "telephone_number": "812-342-0766",
            "fax_number": "812-342-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W GOELLER BLVD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018273",
            "telephone_number": "812-342-0766",
            "fax_number": "812-342-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS FAMILY DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "NEGRELLI",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "812-342-0766",
        "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": "IN",
            "license": "12009878A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.