Organization Active NPI

Anthony Dental Care - South High LLC

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1992508097
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANTHONY DENTAL CARE - SOUTH HIGH LLC
Practice address
3476 S High St
Columbus, OH 43207-4007
Phone
(740) 965-4090
Fax
(740) 965-9921
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Tracey Reckner
Title
Om
Phone
(740) 965-4090

Specialties & licenses 1

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

Addresses

Primary practice location

3476 S High St
Columbus, OH 43207-4007

Mailing address

257 W Granville St Ste 200
Sunbury, OH 43074-9684
Phone (740) 965-4090

Other names 1

  • South High Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3476 S High St
Columbus, OH 43207
Phone (614) 363-2942

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": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1992508097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W GRANVILLE ST STE 200",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749684",
            "telephone_number": "740-965-4090",
            "fax_number": "740-965-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074007",
            "telephone_number": "740-965-4090",
            "fax_number": "740-965-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY DENTAL CARE - SOUTH HIGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "RECKNER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "740-965-4090"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South High Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2025; 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.