Brandon B Cotter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4576 Issued in NM

Practice address

210 Main St
#460
Ellendale, ND 58436

Phone

(701) 349-3636

Fax

(701) 349-2137

NPI assigned

Aug 4, 2016

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cotter Dental PC

  dba Dakota Dental Care

  • Dental Clinic/Center
  • Ellendale, ND
  • NPI 1346741964
  NPD (past) Authorized official
• Dakota Dental Care

  • Dentist
  • Ellendale, ND
  • NPI 1225443310
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1215481577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "58436",
            "telephone_number": "701-349-3636",
            "fax_number": "701-349-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "address_2": "#460",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "58436",
            "telephone_number": "701-349-3636",
            "fax_number": "701-349-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "BRANDON",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedictine Living Communities Inc. (Prince of Peace Care Center)
• Brittany Broderson, LSW
• Shellcy Ann Bullock
• City of Ellendale (Ellendale Community Ambulance Service)
• Cotter Dental PC (Dakota Dental Care)
• County of Dickey (Dickey County Health District)
• Dakota Dental Care
• Dickey County Social Service
• Dickey Rural Services
• Deborah J Elhard, MS LPCC

• General Practice Dentistry in Ellendale, ND
• Providers in Ellendale, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.