Brian J Walsh DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30019452 Issued in OH

Legal business name

BRIAN J WALSH DDS INC

Doing business as

Johnstown Dental Care

Practice address

370 West Coshocton St
Johnstown, OH 43031

Phone

(740) 967-6046

Fax

(740) 967-6840

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Jay Walsh, DDSNPI 1720273907

Title

Owner

Phone

(740) 967-6046

Specialties & licenses 2

Addresses

Other names 1

• Johnstown Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian J Walsh, DDS

  • Dentist
  • Johnstown, OH
  • NPI 1720273907
  NPD (past) Authorized official
• Caitlin Smith Glenn, DDS

  • General Practice Dentistry
  • Newark, OH
  • NPI 1578306080
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114091915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 WEST COSHOCTON ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "43031",
            "telephone_number": "740-967-6046",
            "fax_number": "740-967-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 WEST COSHOCTON ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "43031",
            "telephone_number": "740-967-6046",
            "fax_number": "740-967-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J WALSH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-967-6046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019452",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30020098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnstown Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark L. Bailey, PHARMD, MBA
• Amy Bennett, MA, CCC/SLP
• Carrie Berghoff, CF-SLP
• Mary Elizabeth Berkey, MA, BCBA, COBA
• Kimberly Sue Boozell, LPTA
• Timothy John Bright, D.O.
• Courtney Marianne Brown, BCBA, LBA
• Jami Ranee Canning, LPN
• Jeffrey Michael Capers, PHARMD
• Lillie Xiazhong Carey

• Dentist in Johnstown, OH
• Providers in Johnstown, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.