Organization Active NPI

Ohio Dental Associates Brian C. Stickel DDS, LLC

Doing business as Newark Dental Associates

  • Dental Clinic/Center
  • Newark, OH
National Provider Identifier
1902319155
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OHIO DENTAL ASSOCIATES BRIAN C. STICKEL DDS, LLC
Doing business as
Newark Dental Associates
Practice address
1339 W Main St
Newark, OH 43055-1821
Phone
(740) 344-4000
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Dr. Brian C Stickel, DDS
Title
Owner
Phone
(614) 942-6004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X OH Primary

Addresses

Primary practice location

1339 W Main St
Newark, OH 43055-1821

Mailing address

7874 Silver Lake CT
Westerville, OH 43082-7740
Phone (614) 942-6004

Other names 1

  • Newark Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1339 W Main St
Newark, OH 43055
Phone (740) 344-4000

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": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1902319155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7874 SILVER LAKE CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827740",
            "telephone_number": "614-942-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551821",
            "telephone_number": "740-344-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO DENTAL ASSOCIATES BRIAN C. STICKEL DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "STICKEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-942-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.