Craig J Brandenburg DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9418 Issued in MN

Legal business name

CRAIG J BRANDENBURG DDS LTD

Practice address

5201 Bloomington Ave
Minneapolis, MN 55417-1819

Phone

(612) 721-6233

Fax

(612) 721-5723

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig J Brandenburg, DDS

Title

Owner

Phone

(612) 721-6233

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Wade Podratz, DDS

  • Dentist
  • Minneapolis, MN
  • NPI 1124029913
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013070291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171819",
            "telephone_number": "612-721-6233",
            "fax_number": "612-721-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171819",
            "telephone_number": "612-721-6233",
            "fax_number": "612-721-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG J BRANDENBURG DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-721-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Truchon Crackel, D.D.S.
• Guadalupe Maria Craft, RN
• Oneykia Ameria Craft
• Cathleen Ann Crafton
• Andrew Cragg, M.D
• Armesha D Craig
• Edward V Craig, MD
• Heather Craig
• James Lynn Craig, MD MPH
• Joan Craig, NP

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.