Individual provider Active NPI

Kathryn Brandt, DDS

  • Dentist
  • Charlottesville, VA
National Provider Identifier
1265847875
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414512 Issued in VA
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.

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

LicenseStateTypeSpecialty
0401414512VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sapon & Swisher Dental PLLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414512 VA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.