Teresa Grossen Brandt

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H1857 Issued in OR

Practice address

222 SE 8TH Ave
Hillsboro, OR 97123-4218

Phone

(503) 780-9252

NPI assigned

Apr 8, 2022

Sex

Female

Sole proprietor

No

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, last updated by the provider on Apr 8, 2022.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1104568484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20921 NW BENDEMEER RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248519",
            "telephone_number": "503-780-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234218",
            "telephone_number": "503-780-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "TERESA",
        "middle_name": "GROSSEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kali Brady
• Kayla Braestrup, PHARMD
• Nicholas Brammer, D.D.S.
• Sandra Bran-Barrera
• Madison Leigh Branaugh
• Jill Chandler Brantley
• Hannah Joi Brassell
• Susan Elizabeth Braukmann, P.T.
• Claire Braverman
• Kasia Bray, MACCC/SLP02

• All providers in Hillsboro, OR
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.