Organization Active NPI

Jerome Dental, Michael Pappas, DDS, LLC

  • Dentist
  • Grove City, OH
National Provider Identifier
1982445235
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEROME DENTAL, MICHAEL PAPPAS, DDS, LLC
Doing business as
Jerome Dental
Practice address
5775 Hoover Rd Ste a
Grove City, OH 43123-7693
Phone
(614) 967-9199
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Michael Christopher Pappas, DDS
Title
Owner
Phone
(440) 341-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5775 Hoover Rd Ste a
Grove City, OH 43123-7693

Mailing address

5775 Hoover Rd Ste a
Grove City, OH 43123-7693
Phone (614) 967-9199

Other names 1

  • Jerome Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5775 Hoover Rd
Ste A
Grove City, OH 43123
Phone (614) 350-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1982445235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 HOOVER RD STE A",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237693",
            "telephone_number": "614-967-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 HOOVER RD STE A",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237693",
            "telephone_number": "614-967-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME DENTAL, MICHAEL PAPPAS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-341-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerome Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.