Brandon Schvaneveldt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5412590-9922 Issued in UT

Practice address

398 South Main
Suite 120
Logan, UT 84321

Phone

(435) 752-1434

Fax

(435) 752-1986

NPI assigned

Dec 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Brandon Schvaneveldt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1053594416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 SOUTH MAIN",
            "address_2": "SUITE 120",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213445",
            "telephone_number": "435-752-1434",
            "fax_number": "435-752-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 SOUTH MAIN",
            "address_2": "SUITE 120",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321",
            "telephone_number": "435-752-1434",
            "fax_number": "435-752-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHVANEVELDT",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5412590-8903",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3699",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5412590-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "SCHVANEVELDT",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andre Scholes, DPT
• Brent Schow, N.P.
• Samantha Schuh, ATC
• Angela Wignall Schultz, LCSW, LICSW
• Brynn Schumacher, D.O.
• Troy M Schwartz, D.O.
• Susie Scott, MEDICAL ASSISTANT
• Mary La Vern Seager
• Benjamin Seale, PA-C
• Tenille Sealy

• General Practice Dentistry in Logan, UT
• Providers in Logan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.