MENDIETA, LLC
NPI 1851686562
Dentist - Orthodontics and Dentofacial Orthopedics in Columbus, OH

Active since June 10, 2011
3079 W BROAD ST STE 6, COLUMBUS, OH 43204(614) 279-6481 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mendieta, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDIETA, LLC (NPI 1851686562) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Columbus, Ohio and active in the NPI registry since June 2011. The organization lists Edgar Yahir Mendieta, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1851686562
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameMENDIETA, LLC
Location Address3079 W BROAD ST STE 6Columbus, OH 43204-1397
Mailing Address3079 W Broad St Ste 6Columbus, OH 43204-1397 · (614) 279-6481
Organization SubpartNo
Authorized OfficialEdgar Yahir MendietaOrthodontist · (310) 592-2057
Enumeration DateJune 10, 2011
NPI 1851686562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OH · 30.022430
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3079 W BROAD ST STE 6, Columbus, OH 43204

Other Identifiers 1

Medicaid3147286OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3079 W BROAD ST STE 6
COLUMBUS, OH 43204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mendieta, LLC's NPI number?

The NPI number for Mendieta, LLC is 1851686562. It was assigned to this organization in the NPPES registry on June 10, 2011.

Where is Mendieta, LLC located?

Mendieta, LLC is located at 3079 W Broad St Ste 6, Columbus, OH 43204. The listed phone number is (614) 279-6481.

What is Mendieta, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Mendieta, LLC was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.