Organization Active NPI

Smilenorton Inc.

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1922587757
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30023039 Issued in OH
Legal business name
SMILENORTON INC.
Practice address
17 Norton Rd
Columbus, OH 43228-1711
Phone
(614) 870-3337
Fax
(614) 870-3339
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Pavla Flanagan
Title
Receptionist
Phone
(614) 870-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30023039 OH Primary

Addresses

Primary practice location

17 Norton Rd
Columbus, OH 43228-1711

Mailing address

17 Norton Rd
Columbus, OH 43228-1711
Phone (614) 870-3337

Other identifiers 6

IdentifierTypeStateIssuer
3059550MedicaidOH
26413884MedicaidOH
0063217MedicaidOH
236223MedicaidOH
0575157MedicaidOH
2462204MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1922587757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NORTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281711",
            "telephone_number": "614-870-3337",
            "fax_number": "614-870-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NORTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281711",
            "telephone_number": "614-870-3337",
            "fax_number": "614-870-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILENORTON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "PAVLA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "614-870-3337"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3059550",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26413884",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063217",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236223",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0575157",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462204",
            "state": "OH"
        }
    ],
    "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 Aug 13, 2018; 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.