Organization Active NPI

Dr. Brandon Kratz DDS LLC

  • General Practice Dentistry
  • Creve Coeur, MO
National Provider Identifier
1154004273
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Dr. Brandon Kratz, DDSNPI 1538721444
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.