UPPER ARLINGTON - BRYAN BASOM DDS LLC (NPI# 1013427921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013427921 |
Entity Type | Organization |
Organization Name | UPPER ARLINGTON - BRYAN BASOM DDS LLC |
Other Organization Name | MAGNOLIA DENTAL |
Practice Address |
1840 Zollinger Rd Columbus OH 43221-2850 |
Mailing Address |
7870 Olentangy River Rd Ste 205 Columbus OH 43235-1319 |
Practice Telephone | 6144573927 |
Practice Fax Number | 6144570668 |
Mailing Telephone | 6144360316 |
Enumeration Date | 2017-10-05 |
Last Update Date | 2018-06-16 |
Authorized Official Name | DR. BRYAN BASOM (OWNER) |
Authorized Official Telephone | 6144067187 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 30.022613 | OH | Dental Providers |
Other Name | Type Code |
---|---|
Magnolia Dental | Doing Business As Name - Organization |
Magnolia Dental at Kingsdale | Doing Business As Name - Organization |
Street Address |
1840 ZOLLINGER RD |
City | COLUMBUS |
State | OH |
Zip Code | 43221-2850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295714046 | Robert A Brewer Jr. | Dentist | 1840 Zollinger Rd, Columbus, OH 43221-2850 | 2006-01-11 |
1326418054 | Andrea M Harr | Mechanotherapist | 1840 Zollinger Rd, Columbus, OH 43221-2850 | 2015-10-07 |
1164813622 | Audrie Patterson | Mechanotherapist | 1840 Zollinger Rd, Suite A, Columbus, OH 43221-2850 | 2015-02-05 |
1184027971 | Richard Sandilands | Mechanotherapist | 1840 Zollinger Rd, Suite A, Columbus, OH 43221-2850 | 2014-10-07 |
1831505056 | Michelle Harklau | Mechanotherapist | 1840 Zollinger Rd, Suite A, Columbus, OH 43221-2850 | 2014-07-08 |
1750708087 | Therapeutic Massage Center | Mechanotherapist | 1840 Zollinger Rd, Suite A, Columbus, OH 43221-2850 | 2014-03-25 |
1467874370 | Angela Hoerst | Mechanotherapist | 1840 Zollinger Rd, Suite A, Columbus, OH 43221-2850 | 2014-01-11 |
1982944435 | James Charles Chainey Jr. | Mechanotherapist | 1840 Zollinger Rd, Columbus, OH 43221-2850 | 2013-02-20 |
1770876310 | Therapeutic Massage Center At Kingsdale | Clinic/Center | 1840 Zollinger Rd, Suite A, Columbus, OH 43221-2850 | 2011-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
1215405691 | Mary E Altiero | Registered Nurse | 3041 Mountview Rd, Columbus, OH 43221 | 2018-11-05 |
1396157228 | Heavenly Help LLC | Home Health | 2903 Brandon Road, Columbus, OH 43221 | 2014-05-27 |
1679824767 | Danielle Leigh Prater | Occupational Therapy Assistant | 5222 York County Rd., Columbus, OH 43221 | 2012-09-28 |
1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
1033494125 | Katherine Ann Friz | Mechanotherapist | 1840 Zollinger Rd Suite A, Columbus, OH 43221 | 2011-10-20 |
1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
1003006909 | Julia Ann Pinkham | Acupuncturist | 2170 Riverside Dr, Columbus, OH 43221 | 2007-07-26 |
1750592796 | Christopher Scott Mckenzie | Physical Therapist | The Ohio State University Sports Medicine Center, 2050 Kenny Rd. Morehouse Building, Columbus, OH 43221 | 2007-05-24 |
1538379169 | Melissa Shearer Kidder | Physical Therapist | Osu Sports Medicine Center, 2050 Kenny Road, Columbus, OH 43221 | 2007-05-23 |
Find all providers in zip 43221 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942825815 | James Zaiger | Dentist | 73 W 5th Ave, Columbus, OH 43201-3218 | 2020-06-16 |
1831713015 | Matthew T Chaney | Dentist | 720 W 3rd Ave Apt 207, Columbus, OH 43212-3157 | 2020-06-03 |
1306477641 | Kyung H Min | Dentist | 3456 Shattuck Ave, Columbus, OH 43220-5036 | 2020-01-27 |
1861033326 | Cintia Carina Mujica | Dentist | 2416 Adams Ave, Columbus, OH 43202-3002 | 2019-10-04 |
1346898525 | Yuan-lynn Hsieh | Dentist | 305 W 12th Ave Rm 3005g, Columbus, OH 43210-1267 | 2019-08-30 |
1427619147 | Michelle Tsai | Dentist | 4770 Indianola Ave Ste 100, Columbus, OH 43214-1861 | 2019-06-24 |
1609432780 | Jessica Lindamood | Dentist | 1151 Bethel Rd Ste 301, Columbus, OH 43220-2775 | 2019-05-14 |
1912563123 | Jamal Latif | Dentist | 1010 Bethel Rd, Columbus, OH 43214-1908 | 2019-05-13 |
1538638226 | Joen M Iannucci | Dentist | 305 W 12th Ave Rm 4171, Columbus, OH 43210-1267 | 2018-11-26 |
1306337670 | Jerad Alfred Servais | Dentist | 305 W 12 Ave, Columbus, OH 43210 | 2018-05-22 |
Find all providers in COLUMBUS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.