Joseph Paul Brennan – General Practice Dentistry

Key facts

NPI: 1154440956
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 21741 (OH)
Practice address: 210 W Airport Hwy
Swanton, OH 43558-1441
Phone: (419) 826-2525
Fax: (419) 825-5067
NPI assigned: Mar 29, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

Dental Health Associates Dentist · Swanton, OH · NPI 1386398196

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150416000428	OH	Order and Referring Only - Dentist Practitioner - Dentist	9830417161

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
21741	OH	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Dental Health Associates		Past since Feb 13, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	21741	OH	Yes

Addresses

Primary practice location

210 W Airport Hwy
Swanton, OH 43558-1441

Mailing address

210 W Airport Hwy
P.O. Box 270
Swanton, OH 43558-1441
Phone (419) 826-2525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154440956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W AIRPORT HWY",
            "address_2": "P.O. BOX 270",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581441",
            "telephone_number": "419-826-2525",
            "fax_number": "419-825-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W AIRPORT HWY",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581441",
            "telephone_number": "419-826-2525",
            "fax_number": "419-825-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swanton, OH

All providers in Swanton, OH · General Practice Dentistry in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.