Braxton Risetter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09985 Issued in IA

Practice address

4001 6TH Ave
Des Moines, IA 50313-3430

Phone

(515) 228-1343

NPI assigned

Jun 13, 2022

Sex

Male

Sole proprietor

No

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 IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Risetter Dental, PLLC

  • Dental Clinic/Center
  • Story City, IA
  • NPI 1477493849
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1134859150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503133430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503133430",
            "telephone_number": "515-228-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISETTER",
        "first_name": "BRAXTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lynne Ringo, MT(ASCP)
• Zachary Rinke, MD
• Robert B Ripchinski, PAC
• Rise Holistic Wellness
• Tamara Risen-Trinder, ARNP
• Mary Frances Rish, BSRT (R)
• Garrett Risley, MD
• Eric Lee Risovi, M.D.
• Lawrence Jeffrey Rissman, MD
• Brenda Risvold, PHARMD

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.