Brad D. Barricklow, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20672 Issued in OH

Practice address

7135 Sylvania Ave
1-A
Sylvania, OH 43560-3530

Phone

(419) 885-1115

Fax

(419) 842-1656

NPI assigned

Aug 1, 2006

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS. Urbanik, Barricklow & Schultz, D.D.S., Inc.

  dba Brookview Dental

  • Dental Clinic/Center
  • Sylvania, OH
  • NPI 1629456884
  NPD (past) Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1073529707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 CEDAR BEND RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609391",
            "telephone_number": "419-829-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 SYLVANIA AVE",
            "address_2": "1-A",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603530",
            "telephone_number": "419-885-1115",
            "fax_number": "419-842-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRICKLOW",
        "first_name": "BRAD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ballou, MS, LPC
• Claire Marie Barbao, M.A.
• Emma Marie Barnhart
• Monica Marie Barnum, NP
• Amy McCahan Barricklow, D.M.D.
• Trista Ann Barros, RN
• Beth Barrow
• Michael H Basista, M.D.
• Breanne Bates, OTD, OTR/L
• Barbara Bauer

• General Practice Dentistry in Sylvania, OH
• Providers in Sylvania, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.