Organization Active NPI

Brian J. Britt, D.D.S., LLC

  • General Practice Dentistry
  • Berea, OH
National Provider Identifier
1104136712
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3002228 Issued in OH
Legal business name
BRIAN J. BRITT, D.D.S., LLC
Practice address
633 W Bagley Rd
Berea, OH 44017-1356
Phone
(440) 826-4242
NPI assigned
Oct 15, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Brian J Britt, D.D.S.
Title
Owner
Phone
(440) 826-4040

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3002228 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

633 W Bagley Rd
Berea, OH 44017-1356

Mailing address

633 W Bagley Rd
Berea, OH 44017-1356
Phone (440) 826-4242

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1306968573OtherOHINDIVIDUAL NPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2010.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1104136712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171356",
            "telephone_number": "440-826-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171356",
            "telephone_number": "440-826-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J. BRITT, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-826-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "3002228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306968573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.