Active NPI
Newark Orthodontic Center - Jiafeng Gu, DDS, Ms, LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Newark, OH
National Provider Identifier
1972042976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30-024012
- Legal business name
- NEWARK ORTHODONTIC CENTER - JIAFENG GU, DDS, MS, LLC
- Practice address
- 974 N 21St St Ste a-1
Newark, OH 43055-2990 - Phone
- (740) 366-3309
- NPI assigned
- Feb 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jiafeng Gu, DDS
- Title
- Owner, Orthodontist
- Phone
- (626) 893-2266
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30-024012 | OH | Primary |
Addresses
Primary practice location
974 N 21St St Ste a-1
Newark, OH 43055-2990
Mailing address
974 N 21St St Ste a-1
Newark, OH 43055-2990
Phone (740) 366-3309
Other names 1
- Newark Orthodontic Center
National Provider Directory
National Provider DirectoryLocations
974 N 21st St
Ste A1
Newark, OH 43055
Phone (740) 366-3309
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Newark, OH
- NPI 1801212303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1972042976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 N 21ST ST STE A-1",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552990",
"telephone_number": "740-366-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 N 21ST ST STE A-1",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552990",
"telephone_number": "740-366-3309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWARK ORTHODONTIC CENTER - JIAFENG GU, DDS, MS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-23",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "GU",
"authorized_official_first_name": "JIAFENG",
"authorized_official_title_or_position": "OWNER, ORTHODONTIST",
"authorized_official_telephone_number": "626-893-2266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "30-024012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newark Orthodontic Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.