NPIMap

Organization Active NPI

Tipton, Chaney, Brown, Walkup & Associates, Inc.

  • General Practice Dentistry
  • Bryan, OH
National Provider Identifier
1922072669
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30019669 Issued in OH
Legal business name
TIPTON, CHANEY, BROWN, WALKUP & ASSOCIATES, INC.
Practice address
442 W High St
Suite 2
Bryan, OH 43506-1681
Phone
(419) 636-3163
Fax
(419) 636-5056
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. Stanley G Tipton, DDSNPI 1801988324
Title
President
Phone
(419) 636-3163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30019669 OH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30015303 OH
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30014080 OH
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30014512 OH

Addresses

Primary practice location

442 W High St
Suite 2
Bryan, OH 43506-1681

Mailing address

442 W High St
Suite 2
Bryan, OH 43506-1681
Phone (419) 636-3163

Other identifiers 13

IdentifierTypeStateIssuer
025860OtherOHCARL CHANEY - UCCI
30019669OtherOHCARL CHANEY-DELTA DENTAL
30021730OtherOHSHEA WALKUP
30021984OtherOHSCOTT BROWN-DENTAL DENTAL
30021730OtherOHSHEA WALKUP-DELTA DENTAL
30021984OtherOHSCOTT BROWN
0278097MedicaidOH
0924441MedicaidOH
0247718MedicaidOH
0320030MedicaidOH
0159117MedicaidOH
30015303OtherOHSTANLEY TIPTON-DELTAL DEN
885522OtherOHSTANLEY TIPTON - UCCI

Other names 1

  • BRYAN DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

442 W High St
Ste 2
Bryan, OH 43506
Phone (419) 636-3163

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1922072669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W HIGH ST",
            "address_2": "SUITE 2",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061681",
            "telephone_number": "419-636-3163",
            "fax_number": "419-636-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W HIGH ST",
            "address_2": "SUITE 2",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061681",
            "telephone_number": "419-636-3163",
            "fax_number": "419-636-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPTON, CHANEY, BROWN, WALKUP & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-636-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30019669",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30015303",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30014080",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30014512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARL CHANEY - UCCI",
            "identifier": "025860",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARL CHANEY-DELTA DENTAL",
            "identifier": "30019669",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEA WALKUP",
            "identifier": "30021730",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT BROWN-DENTAL DENTAL",
            "identifier": "30021984",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEA WALKUP-DELTA DENTAL",
            "identifier": "30021730",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT BROWN",
            "identifier": "30021984",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278097",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924441",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247718",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320030",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159117",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANLEY TIPTON-DELTAL DEN",
            "identifier": "30015303",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANLEY TIPTON - UCCI",
            "identifier": "885522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRYAN DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.