Organization Active NPI

North Orange Smile Center

  • General Practice Dentistry
  • Delaware, OH
National Provider Identifier
1932832409
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTH ORANGE SMILE CENTER
Practice address
7420 Gooding Blvd Ste 200
Delaware, OH 43015-7086
Phone
(614) 507-7339
NPI assigned
Jul 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Authorized official

Name
Dr. Jack Minnillo, DDSNPI 1528414398
Title
Dentist/Partner
Phone
(614) 507-7339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7420 Gooding Blvd Ste 200
Delaware, OH 43015-7086

Mailing address

10576 Ash Grove CT
Plain City, OH 43064-3519
Phone (614) 507-7339

National Provider Directory

National Provider Directory

Locations

7420 Gooding Blvd
#200
Delaware, OH 43015
Phone (614) 507-7339

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656720000000",
    "number": "1932832409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10576 ASH GROVE CT",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430643519",
            "telephone_number": "614-507-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 GOODING BLVD STE 200",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157086",
            "telephone_number": "614-507-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ORANGE SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A",
        "authorized_official_last_name": "MINNILLO",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DENTIST/PARTNER",
        "authorized_official_telephone_number": "614-507-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.