Organization Active NPI

Affordable Dentures - Mansfield, Brandon Washington, DDS, Inc.

  • Dentist
  • Ontario, OH
National Provider Identifier
1588022362
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023500 Issued in OH
Legal business name
AFFORDABLE DENTURES - MANSFIELD, BRANDON WASHINGTON, DDS, INC.
Practice address
2010 August Dr Ste 106
Ontario, OH 44906-3350
Phone
(419) 529-0142
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Brandon Washington
Title
DDS/Practice Owner
Phone
(419) 529-0142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.023500 OH Primary

Addresses

Primary practice location

2010 August Dr Ste 106
Ontario, OH 44906-3350

Mailing address

2010 August Dr Ste 106
Ontario, OH 44906-3350
Phone (419) 529-0142

National Provider Directory

National Provider Directory

Locations

2010 August Dr
Ste 106
Ontario, OH 44906
Phone (419) 529-0022

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1588022362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 AUGUST DR STE 106",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449063350",
            "telephone_number": "419-529-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 AUGUST DR STE 106",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449063350",
            "telephone_number": "419-529-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - MANSFIELD, BRANDON WASHINGTON, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DDS/PRACTICE OWNER",
        "authorized_official_telephone_number": "419-529-0142"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.