Individual provider Active NPI

Johnathan Britsch, DDS

  • General Practice Dentistry
  • Archbold, OH
National Provider Identifier
1053976852
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025722 Issued in OH
Practice address
804 Stryker St
Archbold, OH 43502-1039
Phone
(419) 446-2743
NPI assigned
May 7, 2019
Last updated
May 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025722 OH Primary

Addresses

Primary practice location

804 Stryker St
Archbold, OH 43502-1039

Mailing address

7228 Copperwood LN
Sylvania, OH 43560-1336

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address britsch.5@osu.edu

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

LicenseStateTypeSpecialty
30.025722OHMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: britsch.5@osu.edu

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1053976852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 COPPERWOOD LN",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 STRYKER ST",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021039",
            "telephone_number": "419-446-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITSCH",
        "first_name": "JOHNATHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "britsch.5@osu.edu",
            "affiliation": "N",
            "endpointDescription": "Encrypted e-mail",
            "address_1": "804 Stryker St",
            "city": "Archbold",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435021039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.