DR. BRYAN RICHARD WIRTZ (NPI# 1912331562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912331562 |
| Entity Type | Individual |
| Full Name | DR. BRYAN RICHARD WIRTZ |
| Credential | D.D.S., M.S. |
| Practice Address |
11329 Springfield Pike Cincinnati OH 45246-4201 |
| Practice Telephone | 5137721671 |
| Mailing Telephone | 5137721671 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30023619 | OH | Dental Providers |
| Street Address |
11329 SPRINGFIELD PIKE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45246-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043338031 | James R Cryder | Dentist | 11329 Springfield Pike, Cincinnati, OH 45246-4201 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
| 1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
| 1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
| 1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
| 1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
| 1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
| Find all providers in zip 45246 | ||||
| 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 |
|---|---|---|---|---|
| 1093345290 | Gruelle Ison Orthodontics LLC | Dentist | 9825 Colerain Ave Ste 300, Cincinnati, OH 45251-1554 | 2020-01-16 |
| 1891925020 | Louis C. Yauss, Dds Inc | Dentist | 7779 Colerain Ave, Cincinnati, OH 45239-4582 | 2009-07-22 |
| 1255508651 | Monica L Newby | Dentist | 5050 Oaklawn Dr, Cincinnati, OH 45227-1434 | 2008-05-14 |
| 1417161860 | M.a. Faris | Dentist | 5530 Muddy Creek Rd, Cincinnati, OH 45238-2030 | 2007-05-09 |
| 1174746507 | Chalk Fry | Dentist | 7438 Montgomery Rd, Cincinnati, OH 45236-4159 | 2007-04-11 |
| 1851412159 | Richard J Wolterman | Dentist | 1163 Fehl Ln, Cincinnati, OH 45230-4349 | 2007-04-03 |
| 1043338031 | James R Cryder | Dentist | 11329 Springfield Pike, Cincinnati, OH 45246-4201 | 2007-03-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| 1821165051 | David C Hoenie | Dentist | 7531 State Rd, Cincinnati, OH 45255-2438 | 2006-11-30 |
| 1477649044 | David William Lange | Dentist | 9157 Montgomery Rd., Suite 103, Cincinnati, OH 45242 | 2006-10-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45246 |
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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.