Brandon M. Piper, DMD, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027684 Issued in IL

Legal business name

BRANDON M. PIPER, DMD, P.C.

Practice address

469 W Wood St
Decatur, IL 62522-3109

Phone

(217) 428-3512

Fax

(217) 428-3525

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Michael Piper, D.M.D.NPI 1598092801

Title

President

Phone

(618) 977-5245

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Michael Piper, D.M.D.

  • General Practice Dentistry
  • Decatur, IL
  • NPI 1598092801
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1396074969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 SPYGLASS CT APT D",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253679",
            "telephone_number": "618-977-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W WOOD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625223109",
            "telephone_number": "217-428-3512",
            "fax_number": "217-428-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON M. PIPER, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-977-5245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb David Braasch
• Kristina Kay Bradford, APN
• Elizabeth Bradley
• John G Bradley, M.D.
• Jonathan R Bradley, O.D.
• John Blaine Brandt, OTR/L CHT
• Christina M Branham, M.D.
• Julie Brasel, C.N.M.
• Stacey L Breer, MS, OTR L
• Mark F Bridge

• General Practice Dentistry in Decatur, IL
• Providers in Decatur, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.