Dr. Bradley Pittman DDS LTD.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

DR. BRADLEY PITTMAN DDS LTD.

Practice address

205 E. Second St.
Defiance, OH 43512

Phone

(419) 783-6993

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Bradley Pittman, DDSNPI 1205990314

Title

Owner

Phone

(419) 783-6993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Bradley Pittman, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Defiance, OH
  • NPI 1205990314
  Medicare reassignment NPD Authorized official
• Scott Allan Keyes, DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Wauseon, OH
  • NPI 1568679769
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1174098768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E. SECOND ST.",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "43512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E. SECOND ST.",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "43512",
            "telephone_number": "419-783-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRADLEY PITTMAN DDS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-783-6993",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota James Dietz
• Nychole Ditmyer, LPC
• Bonnie Downey
• Harry A. Doyle, M.D.
• Dr Darryl D Mathewson
• Kathleen Krystyna Drasiewski, M.S., CCC-SLP
• Whitni Drewes, P.T.
• Dean Aaron Dunlap, PHARM.D.
• Jessica Durham, FNP
• Tammy Durham, RN

• Oral & Maxillofacial Surgery (D.M.D.) in Defiance, OH
• Providers in Defiance, OH by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.