Active NPI
Joyce E. Neuman & Dean S. Brandt PTRS.
Doing business as Expressions
- Durable Medical Equipment & Medical Supplies
- Pequot Lakes, MN
National Provider Identifier
1427134428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JOYCE E. NEUMAN & DEAN S. BRANDT PTRS.
- Doing business as
- Expressions
- Practice address
- 4450 Main St
Pequot Lakes, MN 56472 - Phone
- (218) 568-6690
- Fax
- (218) 568-6792
- NPI assigned
- Oct 31, 2006
- Last updated
- Jun 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dean Sherman Brandt, CERTIFIED PEDORTHIST
- Title
- Owner
- Phone
- (218) 568-6690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
4450 Main St
Pequot Lakes, MN 56472
Mailing address
37584 Egret Rd
Crosslake, MN 56442-2786
Phone (218) 568-6690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 998156000 | Medicaid | MN |
Other names 1
- EXPRESSIONS
National Provider Directory
National Provider DirectoryLocations
4450 Main St
Pequot Lakes, MN 56472
Phone (218) 568-6690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213488000000",
"number": "1427134428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37584 EGRET RD",
"city": "CROSSLAKE",
"state": "MN",
"postal_code": "564422786",
"telephone_number": "218-568-6690",
"fax_number": "218-568-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 MAIN ST",
"city": "PEQUOT LAKES",
"state": "MN",
"postal_code": "56472",
"telephone_number": "218-568-6690",
"fax_number": "218-568-6792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOYCE E. NEUMAN & DEAN S. BRANDT PTRS.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2008-06-15",
"status": "A",
"authorized_official_last_name": "BRANDT",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "SHERMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-568-6690",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CERTIFIED PEDORTHIST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "998156000",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EXPRESSIONS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pequot Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.