Individual provider Active NPI

Brandon W. Romick, D.M.D.

  • General Practice Dentistry
  • Maineville, OH
National Provider Identifier
1639295330
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.021656 Issued in OH
Practice address
6028 S State Route 48
Maineville, OH 45039-8280
Phone
(513) 494-0333
Fax
(513) 494-0222
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.021656 OH Primary

Addresses

Primary practice location

6028 S State Route 48
Maineville, OH 45039-8280

Mailing address

6028 S State Route 48
Maineville, OH 45039-8280
Phone (513) 494-0333

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
30.021656OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Riversbend Dental Inc. General Practice Past Accepting new patients
Riversbend Dental General Practice PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1639295330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S STATE ROUTE 48",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398280",
            "telephone_number": "513-494-0333",
            "fax_number": "513-494-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S STATE ROUTE 48",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398280",
            "telephone_number": "513-494-0333",
            "fax_number": "513-494-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMICK",
        "first_name": "BRANDON",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.