Individual provider Active NPI

Lisa Briceland-Kolp, D.D.S.

  • Dentist
  • Hilliard, OH
National Provider Identifier
1437411345
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023721 Issued in OH
Practice address
3734 Ridge Mill Dr
Hilliard, OH 43026-7450
Phone
(614) 850-0446
Fax
(614) 850-0449
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.023721 OH Primary

Addresses

Primary practice location

3734 Ridge Mill Dr
Hilliard, OH 43026-7450

Mailing address

3734 Ridge Mill Dr
Hilliard, OH 43026-7450

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
I20190117001774 OH Order and Referring Only - DentistPractitioner - Dentist 6103162805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023721OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Briceland-Kolp & Willmann Dental LLC Dentist CurrentSince Aug 25, 2024 Accepting new patients
H. Herb Postle D.D.S. Dental Group Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

3734 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 850-0446

Organizations & group practices 2

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1437411345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267450",
            "telephone_number": "614-850-0446",
            "fax_number": "614-850-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICELAND-KOLP",
        "first_name": "LISA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.