Individual provider Active NPI

Bryan T Osterday, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1629179817
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20910 Issued in OH
Practice address
4030 Smith Rd Ste 225
Cincinnati, OH 45209-1975
Phone
(513) 748-6446
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20910 OH Primary

Addresses

Primary practice location

4030 Smith Rd Ste 225
Cincinnati, OH 45209-1975

Mailing address

4030 Smith Rd Ste 225
Cincinnati, OH 45209-1975
Phone (513) 748-6446

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
I20150622001455 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789995432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20910OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Sleep Solutions of Cincinnati LLC CurrentSince May 16, 2021 Accepting new patients
Elizabeth L. Osterday, D.D.S., L.L.C. Past Accepting new patients
Thomas E Osterday DDS Inc Dentist Past Accepting new patients

Locations

4030 Smith Rd
Ste 225
Cincinnati, OH 45209
Phone (513) 748-6446

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1629179817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 225",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091975",
            "telephone_number": "513-748-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 225",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091975",
            "telephone_number": "513-748-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERDAY",
        "first_name": "BRYAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.