Individual provider Active NPI

Pamela Oliveira Brandao, DMD

  • General Practice Dentistry
  • Delray Beach, FL
National Provider Identifier
1164080495
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24133 Issued in FL
Practice address
2100 Lake Ida Rd Ste 2a
Delray Beach, FL 33445-2442
Phone
(561) 272-2131
NPI assigned
Jun 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN24133 FL Primary

Addresses

Primary practice location

2100 Lake Ida Rd Ste 2a
Delray Beach, FL 33445-2442

Mailing address

2100 Lake Ida Rd Ste 2a
Delray Beach, FL 33445-2442
Phone (561) 272-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24133FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Smiles Family Dental PA Current Accepting new patients

Locations

2100 Lake Ida Rd
Ste 2A
Delray Beach, FL 33445
Phone (561) 272-2131

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1164080495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD STE 2A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442",
            "telephone_number": "561-272-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD STE 2A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442",
            "telephone_number": "561-272-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDAO",
        "first_name": "PAMELA",
        "middle_name": "OLIVEIRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-02",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.