Active NPI
Brandon Trimbell, DDS
- General Practice Dentistry
- Fort Atkinson, WI
National Provider Identifier
1013335223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7268-15
- Practice address
- 1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139 - Phone
- (920) 563-4415
- NPI assigned
- Apr 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 7268-15 | WI | |
| Dentist | 122300000X | 7268-15 | WI | |
| Public Health Dentistry | 1223D0001X | 7268-15 | WI | |
| Prosthodontics | 1223P0700X | 7268-15 | WI | |
| Orofacial Pain Dentistry | 1223X2210X | 7268-15 | WI | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7268-15 | WI | |
| Endodontics | 1223E0200X | 7268-15 | WI | |
| General Practice Dentistry | 1223G0001X | 7268-15 | WI | Primary |
| Periodontics | 1223P0300X | 7268-15 | WI | |
| Pediatric Dentistry | 1223P0221X | 7268-15 | WI |
Addresses
Primary practice location
1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139
Mailing address
1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139
Phone (920) 563-4415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190206001372 | WI | Order and Referring Only - Oral Surgery | 0749528354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7268 | WI | MD | Professional Counselor |
| 7268-15 | WI | MD | Oral and Maxillofacial Radiology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Showalter, Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fort Atkinson, WI
- NPI 1508187758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1013335223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 COMMERCE PKWY",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535383139",
"telephone_number": "920-563-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 COMMERCE PKWY",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535383139",
"telephone_number": "920-563-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBELL",
"first_name": "BRANDON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "7268-15",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WI",
"license": "7268-15",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "7268-15",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.