Individual provider Active NPI

Brandon Douglas Svoboda, DDS

  • General Practice Dentistry
  • Williamsburg, IA
National Provider Identifier
1225924780
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-10364 Issued in IA
Practice address
827 S Highland St
Williamsburg, IA 52361-9333
Phone
(319) 668-9808
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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 DDS-10364 IA Primary

Addresses

Primary practice location

827 S Highland St
Williamsburg, IA 52361-9333

Mailing address

1010 Quarry LN Apt 204
Coralville, IA 52241-2224
Phone (507) 227-0807

Other practice location 1

599 Eastern Ave
Marengo, IA 52301-1705
Phone (319) 642-7341

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
DDS-10364IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsburg Dental Health Clinic Inc General Practice CurrentSince Jun 15, 2025 Accepting new patients
Williamsburg Dental Health Clinic Inc CurrentSince Jun 15, 2025 Accepting new patients

Locations

827 S Highland St
Williamsburg, IA 52361
Phone (319) 499-4025

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1225924780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 QUARRY LN APT 204",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412224",
            "telephone_number": "507-227-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S HIGHLAND ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619333",
            "telephone_number": "319-668-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Marengo",
            "state": "IA",
            "postal_code": "523011705",
            "country_code": "US",
            "telephone_number": "319-642-7341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "BRANDON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.