Richard C. Nyzen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

OHIO14128 Issued in OH

Practice address

416 College St
Suite C
Wadsworth, OH 44281-1149

Phone

(330) 336-3131

Fax

(330) 335-7223

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952526022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLLEGE ST",
            "address_2": "SUITE C",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811149",
            "telephone_number": "330-336-3131",
            "fax_number": "330-335-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 COLLEGE ST",
            "address_2": "SUITE C",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811149",
            "telephone_number": "330-336-3131",
            "fax_number": "330-335-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYZEN",
        "first_name": "RICHARD",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "OHIO14128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Wadsworth, OH
• Providers in Wadsworth, 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 Jul 8, 2007; 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.