East Columbus Periodontics LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

EAST COLUMBUS PERIODONTICS LLC

Practice address

5180 E Main St
Columbus, OH 43213-2436

Phone

(614) 864-2561

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason C Stoner, DDSNPI 1861442733

Title

Member

Phone

(614) 889-8222

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: gina@bl-perio.com

Practitioners 3

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.

• Jason C Stoner, D.D.S., M.S.

  • Periodontics
  • Dublin, OH
  • NPI 1861442733
  NPD (past) Authorized official
• Maria Cristina Ferriol, DMD

  • Periodontics
  • Dublin, OH
  • NPI 1427127265
  NPD (past)
• Michael Karl Kreitzer, D.M.D.

  • Periodontics
  • Dublin, OH
  • NPI 1790197390
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1922610203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 BLAZER PKWY STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177323",
            "telephone_number": "614-889-8222",
            "fax_number": "614-889-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132436",
            "telephone_number": "614-864-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COLUMBUS PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-889-8222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "30020951",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina@bl-perio.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "5180 E Main St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432132436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Periodontics in Columbus, OH
• Providers in Columbus, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.