Active NPI
Kathryn Brandt, DDS
- Dentist
- Charlottesville, VA
National Provider Identifier
1265847875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401414512
- Practice address
- 259 Hydraulic Ridge Rd
#203
Charlottesville, VA 22901-8128 - Phone
- (434) 973-1222
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
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.
-
- General Practice Dentistry
- Charlottesville, VA
- NPI 1871894550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 12, 2022 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414512 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sapon & Swisher Dental PLLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414512 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
259 Hydraulic Ridge Rd
#203
Charlottesville, VA 22901-8128
Mailing address
7209 Del Matro Ave
Des Moines, IA 50324-1327
Phone (515) 979-9788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2015.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1265847875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 DEL MATRO AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503241327",
"telephone_number": "515-979-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 HYDRAULIC RIDGE RD",
"address_2": "#203",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018128",
"telephone_number": "434-973-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.