Organization Active NPI

William S. Bricker DDS, Inc.

  • General Practice Dentistry
  • Antwerp, OH
National Provider Identifier
1104092931
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30012413 Issued in OH
Legal business name
WILLIAM S. BRICKER DDS, INC.
Practice address
302 S Cleveland Street
Antwerp, OH 45813
Phone
(419) 258-6511
Fax
(419) 399-2884
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. William S. Bricker, DDS
Title
President
Phone
(419) 258-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30012413 OH Primary

Addresses

Primary practice location

302 S Cleveland Street
Antwerp, OH 45813

Mailing address

PO Box 1107
Antwerp, OH 45813-1107
Phone (419) 258-6511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1104092931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "ANTWERP",
            "state": "OH",
            "postal_code": "458131107",
            "telephone_number": "419-258-6511",
            "fax_number": "419-399-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S CLEVELAND STREET",
            "city": "ANTWERP",
            "state": "OH",
            "postal_code": "45813",
            "telephone_number": "419-258-6511",
            "fax_number": "419-399-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. BRICKER DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-258-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30012413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antwerp, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.