Active NPI
Dr. Brandon Kratz DDS LLC
- General Practice Dentistry
- Creve Coeur, MO
National Provider Identifier
1154004273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DR. BRANDON KRATZ DDS LLC
- Doing business as
- Creve Coeur Family and Sedation Dentistry
- Practice address
- 11710 Old Ballas Rd Ste 100
Creve Coeur, MO 63141-7076 - Phone
- (314) 991-1400
- NPI assigned
- Aug 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brandon Kratz, DDS
- Title
- Manager
- Phone
- (417) 988-2424
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
11710 Old Ballas Rd Ste 100
Creve Coeur, MO 63141-7076
Mailing address
1728 Stoney Terrace Dr
Ballwin, MO 63021-7782
Phone (417) 988-2424
Other names 1
- Creve Coeur Family and Sedation Dentistry
National Provider Directory
National Provider DirectoryLocations
11710 Old Ballas Rd
Ste 100
Creve Coeur, MO 63141
Phone (314) 991-1400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1154004273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 STONEY TERRACE DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630217782",
"telephone_number": "417-988-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 OLD BALLAS RD STE 100",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417076",
"telephone_number": "314-991-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. BRANDON KRATZ DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A",
"authorized_official_last_name": "KRATZ",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "417-988-2424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Creve Coeur Family and Sedation Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.