Organization Active NPI

Page Pediatric Dentistry

  • Pediatric Dentistry
  • Dublin, OH
National Provider Identifier
1861014334
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PAGE PEDIATRIC DENTISTRY
Practice address
5699 Innovation Dr
Dublin, OH 43016-3312
Phone
(614) 215-9488
Fax
(614) 215-9844
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Andree-Anne Page, DMD, MSNPI 1417367533
Title
Owner/Pediatric Dentist
Phone
(614) 215-9488

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5699 Innovation Dr
Dublin, OH 43016-3312

Mailing address

5699 Innovation Dr
Dublin, OH 43016-3312
Phone (614) 215-9488

Other identifiers 1

IdentifierTypeStateIssuer
0178225MedicaidOH

Other names 1

  • Tiny Teeth of Dublin Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@tinyteethofdublin.com Direct

National Provider Directory

National Provider Directory

Locations

5699 Innovation Dr
Dublin, OH 43016
Phone (614) 215-9488

Practitioners & affiliated clinicians

Practitioners 4

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": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1861014334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 INNOVATION DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163312",
            "telephone_number": "614-215-9488",
            "fax_number": "614-215-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 INNOVATION DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163312",
            "telephone_number": "614-215-9488",
            "fax_number": "614-215-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "ANDREE-ANNE",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "614-215-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178225",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tinyteethofdublin.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@tinyteethofdublin.com",
            "address_1": "5699 Innovation Dr",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430163312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tiny Teeth of Dublin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.