BLUE JACKETS BRACES (NPI# 1972060408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972060408 |
| Entity Type | Organization |
| Organization Name | BLUE JACKETS BRACES |
| Practice Address |
1175 Columbus Pike Delaware OH 43015-2713 |
| Practice Telephone | 7402930178 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | BRIAN DEAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6147065206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
1175 COLUMBUS PIKE |
| City | DELAWARE |
| State | OH |
| Zip Code | 43015-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414523 | Tranquility Health Care LLC | Hospice Care, Community Based | 1949 West Central Ave, Suite C, Delaware, OH 43015 | 2019-12-11 |
| 1962056416 | Kelsey Mae Mcpherson | Occupational Therapist | 494 W Central Ave Optional, Delaware, OH 43015 | 2019-08-01 |
| 1821653791 | Keyana Kelley | Optometrist | 1260 Sunbury Road, Suite B, Delaware, OH 43015 | 2019-05-07 |
| 1871009498 | Hagar Ackah-andoh | Registered Nurse | 181 Mcnamara Loop, Lewis Center, OH 43015 | 2017-12-19 |
| 1144749227 | Huzianatu Bundu | Registered Nurse | 130 Crystal Petal Drive, Delaware, OH 43015 | 2017-09-11 |
| 1093232563 | Stephanie Chappel | Occupational Therapist | 746 State Route 37, Delaware, OH 43015 | 2017-08-25 |
| 1083154066 | Angela Vinokur | Counselor | 250 S. Henry St., Delaware, OH 43015 | 2017-02-24 |
| 1437697752 | Dorita Patricia Thompson | Nurse's Aide | 88 N Sandusky Street, Delaware, OH 43015 | 2017-02-07 |
| 1750832762 | Jenni Rebecca Longo | Counselor | 88 North Sandusky St, Dlaware, OH 43015 | 2016-10-14 |
| 1851744403 | Samuel Edward Balla | Social Worker | 88 N. Sandusky St, Delaware, OH 43015 | 2016-07-19 |
| Find all providers in zip 43015 | ||||
| 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 |
|---|---|---|---|---|
| 1679045579 | Dahye Joo | Dentist | 163 N Sandusky St Lowr L-100, Delaware, OH 43015-1785 | 2018-12-18 |
| 1356529317 | Mark T Musgrave | Dentist | 98 W William St, Delaware, OH 43302 | 2008-02-01 |
| 1790302081 | Tops Orthodontics, L.L.C. | Dentist | 163 N Sandusky St Lowr L-100, Delaware, OH 43015-1785 | 2020-07-02 |
| 1861736951 | Delaware Orthodontics | Dentist | 580 Pennsylvania Ave, Delaware, OH 43015-1523 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079424 | Alvaro Malaga | Dentist | 2228 N High St Apt 29, Columbus, OH 43201-4401 | 2020-09-24 |
| 1093345290 | Gruelle Ison Orthodontics LLC | Dentist | 9825 Colerain Ave Ste 300, Cincinnati, OH 45251-1554 | 2020-01-16 |
| 1679103865 | Gid Orthodontics LLC | Dentist | 6876 Cincinnati Dayton Rd Ste 104, Liberty Township, OH 45044-8898 | 2020-01-16 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1497317465 | Jordan Aaron Roth | Dentist | 29001 Cedar Rd Ste 670, Lyndhurst, OH 44124-6501 | 2019-07-01 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1386207884 | Shannon Candid Co. Ohio, P.a. | Dentist | 107 S High St Fl 2, Columbus, OH 43215-9436 | 2019-04-19 |
| 1164985784 | Seema S. Dhingra Dds Msd | Dentist | 2237 Grube St, Springfield, OH 45503-2642 | 2019-04-10 |
| 1609348283 | Shirck Orthodontics | Dentist | 68 N High St Bldg D, New Albany, OH 43054-8091 | 2018-12-20 |
| 1881164903 | Noha Galaleldin Orabi | Dentist | 2717 Hampshire Rd Apt 5, Cleveland Heights, OH 44106-2569 | 2018-12-01 |
| Find all providers with the same taxonomy | ||||
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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.