Individual provider Active NPI

Twyla Brazile, RDH

  • Dental Hygienist
  • Akron, OH
National Provider Identifier
1619370251
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
31.013302 Issued in OH
Practice address
1867 W Market St
Akron, OH 44313-6901
Phone
(330) 926-5674
Fax
(330) 923-6370
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 31.013302 OH Primary

Addresses

Primary practice location

1867 W Market St
Akron, OH 44313-6901

Mailing address

1867 W Market St
Akron, OH 44313-6901
Phone (330) 926-5674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31.013302OHMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1619370251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136901",
            "telephone_number": "330-926-5674",
            "fax_number": "330-923-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136901",
            "telephone_number": "330-926-5674",
            "fax_number": "330-923-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZILE",
        "first_name": "TWYLA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OH",
            "license": "31.013302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.