Active NPI
Leonardo Nassani, DMD
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1912564949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.026409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026409 | OH | MD | General Practice Dentistry |
Interoperability endpoints
- 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.