Organization
Bradley a Purcell D.D.S. M.S. & Ryan M. Mizumoto D.M.D., M.S., Inc
Provider's NPPES record last updated: November 5, 2020
Overview
- Entity Type
- Organization
- NPI
- 1912250135
- Primary Specialty
- Dentist — Prosthodontics
- Practice Location
- Worthington, Ohio
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 1:22 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Prosthodontics
Dental Providers
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Taxonomy code 1223P0700X
Provider-Reported License Information
- Dentist (Michigan)
- 15174
- Dentist (Illinois)
- 22655
Practice Locations
Practice Location
55 Caren Ave Ste 270
Worthington, Ohio 43085-2515
Phone: (614) 888-7012
Other Names
- Spectrum Dental & ProsthodonticsReported November 5, 2020
Record Information
- Enumeration Date
- October 25, 2012
- Provider's NPPES Record Last Updated
- November 5, 2020
- Certification Date
- November 5, 2020
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue