NPIMap

Organization Active NPI

Bradley Warren Hylan, DDS, Inc.

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1477617082
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16257 Issued in OH
Legal business name
BRADLEY WARREN HYLAN, DDS, INC.
Practice address
3447 W 117TH St
Cleveland, OH 44111-3520
Phone
(216) 251-8812
Fax
(216) 252-2448
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Susan G Hylan
Title
Office Manager
Phone
(216) 251-8812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16257 OH Primary

Addresses

Primary practice location

3447 W 117TH St
Cleveland, OH 44111-3520

Mailing address

3447 W 117TH St
Cleveland, OH 44111-3520
Phone (216) 251-8812

Other names 1

  • Hylan Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1477617082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113520",
            "telephone_number": "216-251-8812",
            "fax_number": "216-252-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113520",
            "telephone_number": "216-251-8812",
            "fax_number": "216-252-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY WARREN HYLAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "HYLAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-251-8812"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hylan Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.