Individual provider Active NPI

Brandon Paul Preuss, D.D.S.

  • General Practice Dentistry
  • Newton, IA
National Provider Identifier
1316465677
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-10141 Issued in IA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DDS-10141IAMDGeneral Practice Dentistry
D13808MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Sleep Dentistry PLLC General Practice PastSince Jul 13, 2025 Accepting new patients
Applewhite Dental Iowa PC Dentist PastSince Jul 16, 2023 Accepting new patients
Associated Dentists, P.C. General Practice PastSince Jul 16, 2023 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.

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.

Verify at the official NPI Registry.