Organization Active NPI

Beechcroft Dental

  • Dentist
  • Columbus, OH
National Provider Identifier
1831630078
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30019503 Issued in OH
Legal business name
BEECHCROFT DENTAL
Practice address
5797 Beechcroft Rd
Ste. E
Columbus, OH 43229-2758
Phone
(614) 776-4950
Fax
(614) 776-4953
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Christopher Herrick, DDS
Title
Owner
Phone
(614) 891-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30019503 OH Primary

Addresses

Primary practice location

5797 Beechcroft Rd
Ste. E
Columbus, OH 43229-2758

Mailing address

5797 Beechcroft Rd
Ste. E
Columbus, OH 43229-2758
Phone (614) 776-4950

Other identifiers 1

IdentifierTypeStateIssuer
0839927MedicaidOH

National Provider Directory

National Provider Directory

Locations

5797 Beechcroft Rd
Ste E
Columbus, OH 43229
Phone (614) 776-4950

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1831630078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5797 BEECHCROFT RD",
            "address_2": "STE. E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292758",
            "telephone_number": "614-776-4950",
            "fax_number": "614-776-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5797 BEECHCROFT RD",
            "address_2": "STE. E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292758",
            "telephone_number": "614-776-4950",
            "fax_number": "614-776-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHCROFT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "HERRICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-891-0440",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0839927",
            "state": "OH"
        }
    ],
    "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 Mar 20, 2017; 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.