Active NPI
Jaela Stith, DMD
- Student in an Organized Health Care Education/Training Program
- Columbus, OH
National Provider Identifier
1972363273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- APP-000963424
- Practice address
- 380 Butterfly Gardens Dr
Columbus, OH 43215-7508 - Phone
- (614) 722-5650
- NPI assigned
- Mar 21, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | APP-000963424 | OH | Primary |
Addresses
Primary practice location
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Mailing address
111 N High St
Columbus, OH 43215-3072
Phone (404) 457-5966
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 |
|---|---|---|---|
| APP-000963424 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1972363273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153072",
"telephone_number": "404-457-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 BUTTERFLY GARDENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157508",
"telephone_number": "614-722-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STITH",
"first_name": "JAELA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "APP-000963424",
"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 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.