Organization Active NPI

Northeast Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Gahanna, OH
National Provider Identifier
1841928934
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
NORTHEAST ORAL AND MAXILLOFACIAL SURGERY
Practice address
463 Waterbury CT Ste a
Gahanna, OH 43230-5311
Phone
(614) 471-6600
Fax
(614) 471-6660
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Dr. Chintan I Patel, DDSNPI 1356629711
Title
Owner
Phone
(614) 471-6600

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

463 Waterbury CT Ste a
Gahanna, OH 43230-5311

Mailing address

7257 Goldenrod CT
Powell, OH 43065-8977
Phone (443) 987-2156

National Provider Directory

National Provider Directory

Locations

463 Waterbury Ct
Ste A
Gahanna, OH 43230
Phone (614) 471-6600

Practitioners & affiliated clinicians

Practitioners 2

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": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1841928934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 GOLDENROD CT",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658977",
            "telephone_number": "443-987-2156",
            "fax_number": "614-471-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WATERBURY CT STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305311",
            "telephone_number": "614-471-6600",
            "fax_number": "614-471-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHINTAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-471-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.