Active NPI
Thomas George Brandt, DDS SC
- Dentist
- New Holstein, WI
National Provider Identifier
1093705592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2122G
- Practice address
- 2011 Wisconsin Ave
New Holstein, WI 53061-1316 - Phone
- (920) 898-4110
- Fax
- (920) 898-5995
- NPI assigned
- Oct 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2122G | WI | Primary |
Addresses
Primary practice location
2011 Wisconsin Ave
New Holstein, WI 53061-1316
Mailing address
2011 Wisconsin Ave
PO Box 175
New Holstein, WI 53061-1316
Phone (920) 898-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2122G | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093705592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 WISCONSIN AVE",
"address_2": "PO BOX 175",
"city": "NEW HOLSTEIN",
"state": "WI",
"postal_code": "530611316",
"telephone_number": "920-898-4110",
"fax_number": "920-898-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 WISCONSIN AVE",
"city": "NEW HOLSTEIN",
"state": "WI",
"postal_code": "530611316",
"telephone_number": "920-898-4110",
"fax_number": "920-898-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "THOMAS",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "DDS SC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "2122G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Holstein, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.