Individual provider Active NPI

Nicholas Abinanti

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1831769017
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026563 Issued in OH
Practice address
4089 W Broad St
Columbus, OH 43228-1614
Phone
(614) 954-0700
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026563 OH Primary

Addresses

Primary practice location

4089 W Broad St
Columbus, OH 43228-1614

Mailing address

1558 Runaway Bay Dr Apt 3a
Columbus, OH 43204-3851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.026563OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Broad Dental Partners LLP General Practice CurrentSince Jul 4, 2021 Accepting new patients

Locations

4089 W Broad St
Columbus, OH 43228
Phone (614) 954-0700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831769017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 RUNAWAY BAY DR APT 3A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4089 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281614",
            "telephone_number": "614-954-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABINANTI",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-09-11",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026563",
            "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 Sep 11, 2025; 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.