Tanisha Brown

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-024362 Issued in OH

Practice address

3646 E Main St
Whitehall, OH 43213-2913

Phone

(614) 231-8102

Fax

(614) 231-4801

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mobile Medical Inc

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015
  Medicare reassignment NPD
• Mobile Medical, Inc.

  • Dentist
  • Perrysburg, OH
  • NPI 1629228572
  NPD
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)
• Musial-Gill Properties LLC

  • Dental Clinic/Center
  • Whitehall, OH
  • NPI 1508471392
  NPD (past)
• Ocean Dental of Ohio, P.C.

  • General Practice Dentistry
  • Whitehall, OH
  • NPI 1912121112
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1235548926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 E MAIN ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132913",
            "telephone_number": "614-231-8102",
            "fax_number": "614-231-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 E MAIN ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132913",
            "telephone_number": "614-231-8102",
            "fax_number": "614-231-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TANISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-024362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Brown, MSW, LSW
• Judith L. Brown, MD
• Larica Y Brown, BSW, LSW
• Michael R Brown
• Moniqua Brown, LSW
• Walter Brown
• Michelle Lynn Brumfield, RN, BSN
• Mary Bruner, CFY-SLP
• Alison Katherine Brunney, LSW
• Fatuma Osman Bulle

• General Practice Dentistry in Whitehall, OH
• Providers in Whitehall, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.