Active NPI
Worthington Hills Dental Bryan Basom DDS
- Dentist
- Columbus, OH
National Provider Identifier
1902247182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30022613
- 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
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30022613 | OH | Primary |
Addresses
Primary practice location
7870 Olentangy River Rd Ste 205
Columbus, OH 43235-1319
Mailing address
7870 Olentangy River Rd Ste 205
Columbus, OH 43235-1319
Phone (740) 775-8050
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Chillicothe, OH
- NPI 1043499650
NPI Registry JSON
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": []
}
Other providers in Columbus, OH
- Katie C Worsham, FNP-C
- Alexandra Nicolaivna Worth, MD
- Worthington Christian Village, Inc.
- Worthington Foot & Ankle, LLC
- Worthington Foot & Ankle, LLC
- Worthington Industries Medical Center, Inc.
- Worthington Pediatric Dentists Inc.
- Brittney Worthington
- Chloe Christine Worthington
- Elaina Cia Worthington, PN
Sources for this page
- 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.