Organization 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
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
998156000MedicaidMN

Other names 1

  • EXPRESSIONS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.