Edp of Ohio, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EDP OF OHIO, PC

Practice address

3210 Briarfield Blvd
Maumee, OH 43537-9501

Phone

(419) 866-2400

NPI assigned

Dec 27, 2017

Last updated

Sep 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roseanne Brunenkant

Title

Director of Integrations

Phone

(312) 937-3619

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin B Cochran, DDS

  • Dentist
  • Orrville, OH
  • NPI 1407971690
  NPD (past)
• Theodore C Feucht, DDS

  • Dentist
  • Orrville, OH
  • NPI 1578688511
  NPD (past)
• James A Miller, DDS

  • Dentist
  • Orrville, OH
  • NPI 1376766915
  NPD (past)
• Kamberly D. Tate, DDS

  • Dentist
  • Troy, OH
  • NPI 1356908719
  NPD (past)

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1285140327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043048",
            "telephone_number": "312-937-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379501",
            "telephone_number": "419-866-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30588 Center Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455135",
            "country_code": "US",
            "telephone_number": "440-249-6278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 N Kohler Rd",
            "address_purpose": "LOCATION",
            "city": "Orrville",
            "state": "OH",
            "postal_code": "446679632",
            "country_code": "US",
            "telephone_number": "330-682-0244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 N Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450668007",
            "country_code": "US",
            "telephone_number": "937-748-0940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 N County Road 25A Ste 202",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731372",
            "country_code": "US",
            "telephone_number": "937-552-9028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDP OF OHIO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "BRUNENKANT",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "312-937-3619"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Dunn, M.A. CCC-SLP
• Juanita Duran, LISW
• Roye King Durden Jr., MSW LSW
• Lindesy Eagleston
• James Jeffrey Earle, MAE; MRC; LPCC
• Jazmine M Edwards, RN
• Alexia Ehrsam, RBT
• Regina Suzanne Eich, M.D.
• Matthew Allan Eifrid, APRN
• Mary Eilert

• Dental Clinic/Center in Maumee, OH
• Providers in Maumee, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.