NPIMap

Organization Active NPI

Sandcrest Dental Health Associates, P.C.

  • General Practice Dentistry
  • Columbus, IN
National Provider Identifier
1801909965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54000866A Issued in IN
Legal business name
SANDCREST DENTAL HEALTH ASSOCIATES, P.C.
Practice address
2525 Sandcrest Blvd
Columbus, IN 47203-3048
Phone
(812) 372-6165
Fax
(812) 372-3065
NPI assigned
Aug 15, 2006
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
Dr. John W Sawin, D.D.S.
Title
President
Phone
(812) 372-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54000866A IN Primary

Addresses

Primary practice location

2525 Sandcrest Blvd
Columbus, IN 47203-3048

Mailing address

2525 Sandcrest Blvd
Columbus, IN 47203-3048
Phone (812) 372-6165

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801909965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "812-372-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "812-372-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDCREST DENTAL HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAWIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-372-6165",
        "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": "54000866A",
            "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 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.