Individual provider Active NPI

Leonardo Nassani, DMD

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1912564949
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026409 Issued in OH
Practice address
Postle Hall, 305 W 12TH Ave
Columbus, OH 43210
Phone
(614) 216-1616
NPI assigned
May 24, 2019
Reactivated
Dec 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026409 OH Primary

Addresses

Primary practice location

Postle Hall, 305 W 12TH Ave
Columbus, OH 43210

Mailing address

555 W 5TH Ave
Apt 209
Columbus, OH 43201-4537
Phone (614) 216-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.026409OHMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: lnassani1542520@direct.osumc.edu

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1912564949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 5TH AVE",
            "address_2": "APT 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432014537",
            "telephone_number": "614-216-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POSTLE HALL, 305 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-216-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSANI",
        "first_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-02",
        "deactivation_date": "2020-01-13",
        "reactivation_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 5, 2022; 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.