John Selby Brokloff, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

20982 Issued in OH

Practice address

3500 W. Market St.
Akron, OH 44333

Phone

(330) 668-1001

Fax

(330) 668-9225

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Akron Highland Square Oral Maxillofacial Surgery Assoc..

  • Oral and Maxillofacial Surgery (Dentist)
  • Akron, OH
  • NPI 1225141948
  NPD (past) Authorized official
• Dedicated Sleep, LLC

  • Specialist
  • Lisle, IL
  • NPI 1720501760
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467460790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 BARNSLEIGH",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W. MARKET ST.",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-668-1001",
            "fax_number": "330-668-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKLOFF",
        "first_name": "JOHN",
        "middle_name": "SELBY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "20982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Brod
• Ryan Brod
• Christina Brode, LSW
• Amy L Brodsky, LISWS
• Jordan Brogley Webb
• Europe Bromsey
• Jacinta Kaye Bronner
• Michelle Carol Bronner
• Abby Brookbank, PHARMD
• Brookdale Place of Bath LLC (Brookdale Bath)

• Oral and Maxillofacial Surgery (Dentist) in Akron, OH
• Providers in Akron, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.