Individual provider Active NPI

Brandon Michael Barrette, DDS

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1427674183
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1002319-15 Issued in WI
Practice address
7400 W Brown Deer Rd
Milwaukee, WI 53223-2078
Phone
(414) 354-1160
NPI assigned
Jun 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1002319-15 WI Primary

Addresses

Primary practice location

7400 W Brown Deer Rd
Milwaukee, WI 53223-2078

Mailing address

1223 N 62ND St Apt 108
Wauwatosa, WI 53213-3079
Phone (715) 938-5242

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

LicenseStateTypeSpecialty
1002319-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mequon Deer Dental, LLC CurrentSince Jun 21, 2020 Accepting new patients

Locations

7400 W Brown Deer Rd
Milwaukee, WI 53223
Phone (414) 354-1160

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1427674183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N 62ND ST APT 108",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133079",
            "telephone_number": "715-938-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W BROWN DEER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232078",
            "telephone_number": "414-354-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTE",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002319-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.