Active NPI
Karley Brantman, DDS
- Dentist
- Cedar Rapids, IA
National Provider Identifier
1356833792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-09539
- Practice address
- 4332 Center Point Rd NE
Cedar Rapids, IA 52402-3181 - Phone
- (319) 365-4997
- Fax
- (319) 365-6822
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | DDS-09539 | IA | Primary |
Addresses
Primary practice location
4332 Center Point Rd NE
Cedar Rapids, IA 52402-3181
Mailing address
922 River St
Iowa City, IA 52246-3827
Phone (319) 321-4830
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-09539 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1356833792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 RIVER ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522463827",
"telephone_number": "319-321-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4332 CENTER POINT RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023181",
"telephone_number": "319-365-4997",
"fax_number": "319-365-6822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTMAN",
"first_name": "KARLEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-09539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.