Active NPI
Bryan Limmer, D.M.D, M.S
- Prosthodontics
- Richmond, VA
National Provider Identifier
1164860581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0401418837
- Practice address
- 521 N 11TH St RM 306B
Richmond, VA 23298-5016 - Phone
- (919) 475-7943
- NPI assigned
- Jun 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DEN00010699 | CO | |
| Prosthodontics | 1223P0700X | 0401418837 | VA | Primary |
Addresses
Primary practice location
521 N 11TH St RM 306B
Richmond, VA 23298-5016
Mailing address
400 Westham Pkwy
Henrico, VA 23229-7434
Phone (919) 475-7943
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN00010699 | CO | MD | Prosthodontist |
| 0401418837 | VA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanbrick Dental, PC | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Lone Tree, CO
- NPI 1780208413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1164860581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WESTHAM PKWY",
"city": "HENRICO",
"state": "VA",
"postal_code": "232297434",
"telephone_number": "919-475-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N 11TH ST RM 306B",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985016",
"telephone_number": "919-475-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMMER",
"first_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "D.M.D, M.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CO",
"license": "DEN00010699",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "0401418837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.