NPIMap

Organization Active NPI

Brandon D Kofford DMD and Uday N Reebye DMD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Cary, NC
National Provider Identifier
1285228908
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BRANDON D KOFFORD DMD AND UDAY N REEBYE DMD PLLC
Practice address
1400 Crescent GRN Ste 210
Cary, NC 27518-8118
Phone
(919) 858-8193
Fax
(919) 858-8198
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brandon Dale Kofford, DMDNPI 1043455371
Title
Officer
Phone
(919) 858-8193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1400 Crescent GRN Ste 210
Cary, NC 27518-8118

Mailing address

1400 Crescent GRN Ste 210
Cary, NC 27518-8118
Phone (919) 858-8193

Other practice location 1

5318 Nc Highway 55 Ste 106
Durham, NC 27713-9660
Phone (919) 806-2912

Other practice location 2

2620 New Bern Ave
Raleigh, NC 27610-1821
Phone (919) 526-1000

National Provider Directory

National Provider Directory
Tax ID family
Brandon D Kofford DMD and Uday N Reebye DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1285228908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CRESCENT GRN STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188118",
            "telephone_number": "919-858-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CRESCENT GRN STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188118",
            "telephone_number": "919-858-8193",
            "fax_number": "919-858-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5318 Nc Highway 55 Ste 106",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277139660",
            "country_code": "US",
            "telephone_number": "919-806-2912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101821",
            "country_code": "US",
            "telephone_number": "919-526-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANDON D KOFFORD DMD AND UDAY N REEBYE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "KOFFORD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "919-858-8193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.