Active NPI
Brandon Paul Preuss, D.D.S.
- General Practice Dentistry
- Newton, IA
National Provider Identifier
1316465677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-10141
- Practice address
- 600 E 17TH St S Ste a
Newton, IA 50208-4014 - Phone
- (641) 792-4832
- Fax
- (641) 792-8843
- NPI assigned
- Sep 6, 2017
- Last updated
- Jul 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-10141 | IA | |
| Dentist | 122300000X | D13808 | MN | |
| General Practice Dentistry | 1223G0001X | D13808 | MN | |
| General Practice Dentistry | 1223G0001X | DDS-10141 | IA | Primary |
Addresses
Primary practice location
600 E 17TH St S Ste a
Newton, IA 50208-4014
Mailing address
405 Manor Ridge Dr NW
Rochester, MN 55901-3188
Phone (763) 242-1048
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-10141 | IA | MD | General Practice Dentistry |
| D13808 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Sleep Dentistry PLLC | General Practice | Past | Accepting new patients |
| Applewhite Dental Iowa PC | Dentist | Past | Accepting new patients |
| Associated Dentists, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Associated Dentists
- General Practice Dentistry
- Newton, IA
- NPI 1770143596
-
- General Practice Dentistry
- Newton, IA
- NPI 1881819522
-
- General Practice Dentistry
- Rochester, MN
- NPI 1629968995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1316465677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MANOR RIDGE DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013188",
"telephone_number": "763-242-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 17TH ST S STE A",
"city": "NEWTON",
"state": "IA",
"postal_code": "502084014",
"telephone_number": "641-792-4832",
"fax_number": "641-792-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREUSS",
"first_name": "BRANDON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-06",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-10141",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13808",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D13808",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "DDS-10141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.