Active NPI
Nicolas Robert Branshaw, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brookfield, WI
National Provider Identifier
1326597238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1001398
- Practice address
- 17135 W. Capitol Dr.
Suite 100
Brookfield, WI 53005-2193 - Phone
- (262) 200-9445
- NPI assigned
- Oct 4, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001398 | WI | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1001398 | WI | Primary |
Addresses
Primary practice location
17135 W. Capitol Dr.
Suite 100
Brookfield, WI 53005-2193
Mailing address
7117 Green Bay Rd
Kenosha, WI 53142-1450
Phone (715) 828-9655
Other practice location 1
10625 W North Ave
Milwaukee, WI 53226-2315
Phone (414) 774-5020
Other practice location 2
7117 Green Bay Rd
Kenosha, WI 53142-1450
Phone (715) 828-9655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180822000890 | WI | Order and Referring Only - Dentist | 3476802604 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001398 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Branshaw Orthodontics, LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
17135 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 200-9445
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brookfield, WI
- NPI 1215730627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1326597238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421450",
"telephone_number": "715-828-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17135 W. CAPITOL DR.",
"address_2": "SUITE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052193",
"telephone_number": "262-200-9445"
}
],
"practiceLocations": [
{
"address_1": "10625 W North Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532262315",
"country_code": "US",
"telephone_number": "414-774-5020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7117 Green Bay Rd",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531421450",
"country_code": "US",
"telephone_number": "715-828-9655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANSHAW",
"first_name": "NICOLAS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-04",
"last_updated": "2025-08-14",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001398",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "1001398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.