Northwest Ohio Periodontics, Brian M. Roy D.D.S., M.S., LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30.24791 Issued in OH

Legal business name

NORTHWEST OHIO PERIODONTICS, BRIAN M. ROY D.D.S., M.S., LLC

Practice address

7100 Spring Meadows W Dr
Suite a
Holland, OH 43528-7202

Phone

(419) 865-7692

Fax

(419) 865-9731

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Brian Michael Roy, D.D.S., M.S.

Title

Member

Phone

(419) 865-7692

Specialties & licenses 1

Addresses

Other names 1

• Northwest Ohio Periodontics, LLC Doing business as

Locations

Practitioners 1

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

• Robert Jeffery Stephens, D.D.S.

  • Periodontics
  • Holland, OH
  • NPI 1366472664
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1639622723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SPRING MEADOWS W DR",
            "address_2": "SUITE A",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287202",
            "telephone_number": "419-865-7692",
            "fax_number": "419-865-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SPRING MEADOWS W DR",
            "address_2": "SUITE A",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287202",
            "telephone_number": "419-865-7692",
            "fax_number": "419-865-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OHIO PERIODONTICS, BRIAN M. ROY D.D.S., M.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "419-865-7692",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.24791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Ohio Periodontics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen Nichols, PCPNP
• Johnathan Curtis Nichols
• Angela Noel
• Nohemi Transport, LLC
• Nohemi Transport, LLC
• Samantha Nowakowski, LMT
• Ashley Nowotka, SLP
• Heidi Nusom
• Occupational Health Centers of Ohio, PA, Co
• Julia Oliver

• Periodontics in Holland, OH
• Providers in Holland, OH by specialty
• Periodontics in Ohio

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