Worthington Hills Dental Bryan Basom DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30022613 Issued in OH

Legal business name

WORTHINGTON HILLS DENTAL BRYAN BASOM DDS

Practice address

7870 Olentangy River Rd Ste 205
Columbus, OH 43235-1319

Phone

(740) 775-8050

Fax

(740) 775-8053

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Basom, DDS

Title

President

Phone

(740) 775-8050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1902247182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 OLENTANGY RIVER RD STE 205",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351319",
            "telephone_number": "740-775-8050",
            "fax_number": "740-775-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 OLENTANGY RIVER RD STE 205",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351319",
            "telephone_number": "740-775-8050",
            "fax_number": "740-775-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON HILLS DENTAL BRYAN BASOM DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BASOM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-775-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie C Worsham, FNP-C
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• Worthington Industries Medical Center, Inc.
• Worthington Pediatric Dentists Inc.
• Brittney Worthington
• Chloe Christine Worthington
• Elaina Cia Worthington, PN

• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.