Ohio Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OHIO DENTAL CLINIC

Practice address

6075 Cleveland Ave Ste 107
Columbus, OH 43231-2242

Phone

(614) 899-6600

Fax

(614) 899-9094

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Janice Caslow

Title

Office Manager

Phone

(614) 899-6600

Specialties & licenses 1

Addresses

Other names 1

• Dental Office Doing business as

Locations

Practitioners 1

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

• Erna Safaryan, D.D.S

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1730229501

  General Practice

  NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1902591209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 CLEVELAND AVE STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312242",
            "telephone_number": "614-899-6600",
            "fax_number": "614-899-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 CLEVELAND AVE STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312242",
            "telephone_number": "614-899-6600",
            "fax_number": "614-899-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "CASLOW",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-899-6600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio Dental Professionals, Delisle, P.C.
• Ohio Department of Health
• Ohio Department of Mental Health
• Ohio Department of Rehabilitation and Corrections
• Ohio Dept of Job and Family Services

• All providers in Columbus, OH
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.