Individual provider Active NPI

Brittany Leigh Dexter, D.D.S.

  • General Practice Dentistry
  • Powell, OH
National Provider Identifier
1265662944
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023081 Issued in OH
Practice address
9745 Fairway Drive
Powell, OH 43065
Phone
(614) 766-5722
Fax
(614) 754-5219
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.023081 OH Primary

Addresses

Primary practice location

9745 Fairway Drive
Powell, OH 43065

Mailing address

9745 Fairway Drive
Powell, OH 43065
Phone (614) 766-5722

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170414000172 OH Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5991081598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023081OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fowler Family Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1265662944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 FAIRWAY DRIVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-766-5722",
            "fax_number": "614-754-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 FAIRWAY DRIVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-766-5722",
            "fax_number": "614-754-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "BRITTANY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.