Organization Active NPI

Bend National Veteran & Dot Exam Center, LLC

  • Clinic/Center
  • Columbus, OH
National Provider Identifier
1790639342
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BEND NATIONAL VETERAN & DOT EXAM CENTER, LLC
Practice address
3184 W Broad St Ste D
Columbus, OH 43204-1327
Phone
(614) 657-5157
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Victorine Ankongbe Ndematebem
Title
CNP
Phone
(614) 657-5157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3184 W Broad St Ste D
Columbus, OH 43204-1327

Mailing address

735 Dugan Ridge Dr # a
Blacklick, OH 43004-7124
Phone (614) 657-5157

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2341081Bend National Veteran & Dot Exam Center3184 West Broad St Suite D, Columbus, OH 43204Certificate of waiverMar 26, 2028

National Provider Directory

National Provider Directory

Locations

3184 W Broad St
Ste D
Columbus, OH 43204
Phone (614) 279-8075

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1790639342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 DUGAN RIDGE DR # A",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430047124",
            "telephone_number": "614-657-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 W BROAD ST STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041327",
            "telephone_number": "614-657-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND NATIONAL VETERAN & DOT EXAM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "NDEMATEBEM",
        "authorized_official_first_name": "VICTORINE",
        "authorized_official_middle_name": "ANKONGBE",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "614-657-5157"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.