Irene Brandes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045684 Issued in NY

Practice address

630 5TH Ave
Suite 1818
New York, NY 10111-0100

Phone

(212) 868-7170

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1124219910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 5TH AVE",
            "address_2": "SUITE 1818",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101110100",
            "telephone_number": "212-868-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 5TH AVE",
            "address_2": "SUITE 1818",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101110100",
            "telephone_number": "212-868-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDES",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilona Vera Brandeis, MD, MPH
• Steven Z Brandeis, M.D.
• Tehilla Esther Brander, GENETIC COUNSELOR
• Adine Darryl Brandes, MD
• Amber Rachael Brandes, PSY.D.
• Pearl Brandes, LCSW
• Katharine Brandi, LCSW
• Andrew G Brandmaier, M.D.
• Jillian Grace Brandmaier
• Ashlyn Brandner, PA

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.

Verify at the official NPI Registry.