NPIMap

Organization Active NPI

Pog Dentistry & Associates

Doing business as Gateway General Dentistry North

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1881900751
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30020068 Issued in OH
Legal business name
POG DENTISTRY & ASSOCIATES
Doing business as
Gateway General Dentistry North
Practice address
5770 Karl Rd
Suite 100
Columbus, OH 43229-3604
Phone
(614) 846-8340
Fax
(614) 846-8345
NPI assigned
Aug 30, 2010
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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.NPI 1295839470
Title
Partner/Member
Phone
(614) 262-8180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30020068 OH Primary

Addresses

Primary practice location

5770 Karl Rd
Suite 100
Columbus, OH 43229-3604

Mailing address

5770 Karl Rd
Suite 100
Columbus, OH 43229-3604
Phone (614) 846-8340

Other identifiers 1

IdentifierTypeStateIssuer
0978483MedicaidOH

Other names 1

  • Gateway General Dentistry North Doing business as

National Provider Directory

National Provider Directory

Locations

5770 Karl Rd
Ste 100
Columbus, OH 43229
Phone (614) 846-8340

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "",
            "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"
        }
    ]
}

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 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.