Goshen Family Dentistry, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16397 Issued in OH

Legal business name

GOSHEN FAMILY DENTISTRY, LTD.

Practice address

6782 Goshen Rd
Goshen, OH 45122-9317

Phone

(513) 722-2933

Fax

(513) 722-2923

NPI assigned

May 31, 2007

Last updated

Feb 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley C Brennecke, DDSNPI 1063593861

Title

Manager

Phone

(513) 722-2933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Brennecke

  • General Practice Dentistry
  • Goshen, OH
  • NPI 1063593861
  NPD (past) Authorized official
• Merwin Russell Jones III, DDS

  • General Practice Dentistry
  • Goshen, OH
  • NPI 1790807949
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1710189055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6782 GOSHEN RD",
            "city": "GOSHEN",
            "state": "OH",
            "postal_code": "451229317",
            "telephone_number": "513-722-2933",
            "fax_number": "513-722-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6782 GOSHEN RD",
            "city": "GOSHEN",
            "state": "OH",
            "postal_code": "451229317",
            "telephone_number": "513-722-2933",
            "fax_number": "513-722-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN FAMILY DENTISTRY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "BRENNECKE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-722-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2294539",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cullum
• Hannah Dearworth, DO
• Kathleen Marie Ferrara, FNP
• Alexandra Collado Foreman
• Karen Ann Garrett
• Goshen Local School District
• Goshen Township Board of Trustees
• Melissa M Greene, PHARMD
• Anna Griswold, PA-C
• Stephanie Hager

• General Practice Dentistry in Goshen, OH
• Providers in Goshen, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.