NPIMap

Organization Active NPI

Kenton Dental Care Saliba Fleming & Holland LLC

  • Dentist
  • Columbus, OH
National Provider Identifier
1790821569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30021749 Issued in OH
Legal business name
KENTON DENTAL CARE SALIBA FLEMING & HOLLAND LLC
Practice address
3674 North High St
Columbus, OH 43214
Phone
(614) 263-4040
Fax
(614) 267-7075
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Courtney W Fleming, DDSNPI 1649322652
Title
Dentist
Phone
(419) 673-0706

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
Dentist 122300000X 30021749 OH Primary

Addresses

Primary practice location

3674 North High St
Columbus, OH 43214

Mailing address

121 North Detroit Street
Kenton, OH 43326
Phone (419) 673-0706

National Provider Directory

National Provider Directory

Locations

121 N Detroit St
Kenton, OH 43326
Phone (419) 673-0706

Practitioners & affiliated clinicians

Practitioners 4

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790821569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NORTH DETROIT STREET",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "43326",
            "telephone_number": "419-673-0706",
            "fax_number": "419-673-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 NORTH HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-263-4040",
            "fax_number": "614-267-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON DENTAL CARE SALIBA FLEMING & HOLLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "419-673-0706",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021749",
            "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 22, 2020; 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.