Organization Active NPI

Nicholas M. Kerns, DDS, Ms, LLC

  • Pediatric Dentistry
  • Columbus, OH
National Provider Identifier
1861053647
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NICHOLAS M. KERNS, DDS, MS, LLC
Practice address
Nicholas M. Kerns, DDS, Ms, LLC, Dba Columbus Pediatri
1021 Country Club Rd, Unit B
Columbus, OH 43213
Phone
(614) 868-0718
Fax
(614) 868-5444
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dr. Nicholas M Kerns, DDS, MSNPI 1174820468
Title
Owner, Doctor
Phone
(614) 868-0718

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

Nicholas M. Kerns, DDS, Ms, LLC, Dba Columbus Pediatri
1021 Country Club Rd, Unit B
Columbus, OH 43213

Mailing address

Nicholas M. Kerns, DDS, Ms, LLC, Dba Columbus Pediatri
PO Box 27230
Columbus, OH 43227
Phone (614) 868-0718

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://pediatricdentistcolumbus.com/ Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1861053647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NICHOLAS M. KERNS, DDS, MS, LLC, DBA COLUMBUS PEDIATRI",
            "address_2": "PO BOX 27230",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43227",
            "telephone_number": "614-868-0718",
            "fax_number": "614-868-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NICHOLAS M. KERNS, DDS, MS, LLC, DBA COLUMBUS PEDIATRI",
            "address_2": "1021 COUNTRY CLUB RD, UNIT B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-868-0718",
            "fax_number": "614-868-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS M. KERNS, DDS, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER,  DOCTOR",
        "authorized_official_telephone_number": "614-868-0718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://pediatricdentistcolumbus.com/",
            "affiliation": "N",
            "endpointDescription": "Pediatric Dental offie",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5180 E Main St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432132436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 26, 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.