Pog Dentistry & Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020068 Issued in OH

Legal business name

POG DENTISTRY & ASSOCIATES

Practice address

5770 Karl Rd
Suite 100
Columbus, OH 43229-3604

Phone

(614) 846-8340

Fax

(614) 846-8345

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Robert William Gardner, D.D.D.

Title

Partner/Member

Phone

(614) 262-8180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gateway General Dentistry North Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Rosalyn Tate, DDS

  • Dentist
  • Columbus, OH
  • NPI 1124180039
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1881900751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 KARL RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293604",
            "telephone_number": "614-846-8340",
            "fax_number": "614-846-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 KARL RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293604",
            "telephone_number": "614-846-8340",
            "fax_number": "614-846-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POG DENTISTRY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER/MEMBER",
        "authorized_official_telephone_number": "614-262-8180",
        "authorized_official_credential": "D.D.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978483",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway General Dentistry North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Podnar, MS/OTR/L
• James A. Poe, DDS
• Poel, Inc.
• Poel, Inc.
• Nicole Lynn Poellet, NP
• Jordan Summer Pogu, MD
• Hailee Pogue
• Tamika Pogue
• Amanda Nicole Pohar, CNP
• Cassandra L. Pohl, BS QMHS

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.