Organization Active NPI

Bracken Webb, D.D.S., LLC

  • Dental Clinic/Center
  • West Chester, OH
National Provider Identifier
1780096438
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30.023387 Issued in OH
Legal business name
BRACKEN WEBB, D.D.S., LLC
Doing business as
Pediatric Dental Associates of West Chester
Practice address
9215 Cincinnati Columbus Rd
West Chester, OH 45069-4178
Phone
(513) 777-2313
Fax
(513) 779-5942
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. Bracken Michael Webb, DDS
Title
Owner
Phone
(801) 592-9737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30.023387 OH Primary

Addresses

Primary practice location

9215 Cincinnati Columbus Rd
West Chester, OH 45069-4178

Mailing address

9215 Cincinnati Columbus Rd
West Chester, OH 45069-4178
Phone (513) 777-2313

Other names 1

  • Pediatric Dental Associates of West Chester Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1780096438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694178",
            "telephone_number": "513-777-2313",
            "fax_number": "513-779-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694178",
            "telephone_number": "513-777-2313",
            "fax_number": "513-779-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKEN WEBB, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BRACKEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-592-9737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30.023387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Associates of West Chester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.