Active NPI
Bradley Warren Hylan, D.M.D
- General Practice Dentistry
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16257
- Practice address
- 3447 W 117TH St
Cleveland, OH 44111-3520 - Phone
- (216) 251-8812
- Fax
- (216) 252-2448
- NPI assigned
- Jun 25, 2007
- Last updated
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16257 | OH | Primary |
Addresses
Primary practice location
3447 W 117TH St
Cleveland, OH 44111-3520
Mailing address
3447 W 117TH St
Cleveland, OH 44111-3520
Phone (216) 251-8812
Other practice location 1
22245 Lorain Rd
Fairview Park, OH 44126-3315
Phone (440) 644-8100
Other practice location 2
7770 Brecksville Rd
Brecksville, OH 44141-1000
Phone (440) 546-9968
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16257 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Warren Hylan, DDS, Inc. | General Practice | Current | Accepting new patients |
| Bradley Warren Hylan DMD Fairview LLC | Current | Accepting new patients | |
| Bradley Warren Hylan DMD Brecksville | Past | Accepting new patients |
Locations
22245 Lorain Rd
Fairview Park, OH 44126
Phone (440) 644-8100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Fairview Park, OH
- NPI 1861112138
-
dba Hylan Dental Care
- General Practice Dentistry
- Cleveland, OH
- NPI 1477617082
-
- Dental Clinic/Center
- Brecksville, OH
- NPI 1275334252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1740486927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3447 W 117TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441113520",
"telephone_number": "216-251-8812",
"fax_number": "216-252-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3447 W 117TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441113520",
"telephone_number": "216-251-8812",
"fax_number": "216-252-2448"
}
],
"practiceLocations": [
{
"address_1": "22245 Lorain Rd",
"address_purpose": "LOCATION",
"city": "Fairview Park",
"state": "OH",
"postal_code": "441263315",
"country_code": "US",
"telephone_number": "440-644-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7770 Brecksville Rd",
"address_purpose": "LOCATION",
"city": "Brecksville",
"state": "OH",
"postal_code": "441411000",
"country_code": "US",
"telephone_number": "440-546-9968",
"fax_number": "440-201-6775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYLAN",
"first_name": "BRADLEY",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "16257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.