DR. BRANDON C. PARRISH (NPI# 1588932644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588932644 |
| Entity Type | Individual |
| Full Name | DR. BRANDON C. PARRISH |
| Credential | D.D.S., M.S.D. |
| Practice Address |
223 E Tillman Rd Fort Wayne IN 46816-1079 |
| Practice Telephone | 2604472568 |
| Practice Fax Number | 2604471601 |
| Mailing Telephone | 2604472568 |
| Mailing Fax Number | 2604471601 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30.023218 | OH | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12011384A | IN | Dental Providers |
| Street Address |
223 E TILLMAN RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46816-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114140134 | Jon D. Ingleman | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1016 | 2007-04-10 |
| 1780235374 | Kathryn Welch | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1079 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841769270 | Brian Bernard Conaway | Occupational Therapist | 7125 S Hanna St, Fort Wayne, IN 46816 | 2018-11-14 |
| 1073006938 | Fort Wayne Aal Lp | Assisted Living Facility | 7125 S Hanna Street, Fort Wayne, IN 46816 | 2018-06-14 |
| 1811282064 | Connisha Sanders | Occupational Therapy Assistant | 8309, Bridgeway Cir Apt 3a, Fort Wayne, IN 46816 | 2011-06-16 |
| 1144239609 | James J Bohlin | Dentist | 7524 South Anthony Blvd., Fort Wayne, IN 46816 | 2006-08-05 |
| 1578594537 | K Mart Corp | Pharmacy | 7530 S Anthony Blvd, Fort Wayne, IN 46816 | 2006-07-06 |
| 1720540503 | Jill Ann Woodward | Occupational Therapy Assistant | 7125 S Hanna St, Fort Wayne, IN 46816 | 2019-04-02 |
| 1639163884 | Patrice C Ellingson | Optometrist | 1515 E Paulding Rd, Fort Wayne, IN 46816 | 2005-09-02 |
| 1538189063 | Yoder/rahrig Family Dentistry | Dentist | 333 E Tillman Rd, Fort Wayne, IN 46816-1017 | 2006-07-20 |
| 1619997137 | Gerald J. Rahrig | Dentist | 333 E Tillman Rd, Fort Wayne, IN 46816-1017 | 2006-07-20 |
| 1811525934 | Alexander Milentis | Physical Therapy Assistant | 7125 Hanna St, Fort Wayne, IN 46816-1166 | 2020-04-01 |
| Find all providers in zip 46816 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326263948 | Summit Orthodontics, PC | Dentist | 2801 Maplecrest Rd, Fort Wayne, IN 46815-7015 | 2007-04-17 |
| 1114140134 | Jon D. Ingleman | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1016 | 2007-04-10 |
| 1891825543 | Angela Renee Becker | Dentist | 4638 W Jefferson Blvd, Fort Wayne, IN 46804-6886 | 2007-03-06 |
| 1659423606 | Steven J Hoagburg | Dentist | 5715 Maplecrest Rd, Fort Wayne, IN 46835-3838 | 2007-01-18 |
| 1255427480 | Timothy Jay Bussick Dds, Ms, Incorporated | Dentist | 7207 Engle Rd, Fort Wayne, IN 46804-2231 | 2006-10-05 |
| 1396858957 | Orthodontic Specialty Services, Inc. | Dentist | 1120 E Dupont Rd, Fort Wayne, IN 46825-1556 | 2006-08-17 |
| 1952313991 | Ronald Alan Cohen | Dentist | 10211 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1625 | 2006-08-11 |
| 1780235374 | Kathryn Welch | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1079 | 2019-09-25 |
| 1013234640 | Allison Bergdoll | Dentist | 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825-1546 | 2010-04-21 |
| 1518131200 | Timothy Jay Bussick | Dentist | 7207 Engle Rd, Fort Wayne, IN 46804-2231 | 2008-04-15 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46816 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.