Active NPI
Brandy A Lancaster, DDS
- Dentist
- Spirit Lake, IA
National Provider Identifier
1356489140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8016
- Practice address
- 2210 33Rd St
Spirit Lake, IA 51360-7612 - Phone
- (712) 336-2533
- Fax
- (712) 336-8103
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8016 | IA | Primary |
Addresses
Primary practice location
2210 33Rd St
Spirit Lake, IA 51360-7612
Mailing address
2210 33Rd St
Spirit Lake, IA 51360
Phone (712) 336-2533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20160404001230 | IA | Order and Referring Only - Dentist | 4082911185 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8016 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & S Dental Enterprises PLC | Current | Accepting new patients |
Locations
2210 33rd St
Spirit Lake, IA 51360
Phone (712) 336-2533
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.
-
- General Practice Dentistry
- Spirit Lake, IA
- NPI 1831082478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710547200000",
"number": "1356489140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 33RD ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "51360",
"telephone_number": "712-336-2533",
"fax_number": "712-336-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 33RD ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513607612",
"telephone_number": "712-336-2533",
"fax_number": "712-336-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "BRANDY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "8016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.