Brent Whittaker DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRENT WHITTAKER DDS LLC

Practice address

1677 Marion Mount Gilead Rd Ste 300
Marion, OH 43302-5913

Phone

(614) 725-7816

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Brent Whittaker, DDSNPI 1356901714

Title

Owner

Phone

(614) 725-7816

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Whittaker, DDS

  • Dentist
  • Danville, OH
  • NPI 1356901714
  NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124753389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 MARION MOUNT GILEAD RD STE 300",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 MARION MOUNT GILEAD RD STE 300",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025913",
            "telephone_number": "614-725-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT WHITTAKER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-725-7816",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356901714",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atricia K Bradley
• Robert L Bradley, CRNA
• Brooklynn Brammer
• Breakthrough Recogniciliation Ministries
• Matthew Joseph Brenamen, PHARMD
• Michelle R Brewer-Bunnell, LISW
• Jessica R Brewer
• Ashley Rose Brickner
• Olivia Brinker
• Brittney R Doll LLC

• All providers in Marion, OH
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.