Individual provider Active NPI

Heath B Brantley, DDS

  • Dentist
  • Raleigh, NC
National Provider Identifier
1467899633
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9487 Issued in NC
Practice address
10941 Raven Ridge Rd
Raleigh, NC 27614-6487
Phone
(919) 870-1201
NPI assigned
May 29, 2013
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9487 NC Primary

Addresses

Primary practice location

10941 Raven Ridge Rd
Raleigh, NC 27614-6487

Mailing address

10941 Raven Ridge Rd
Raleigh, NC 27614-6487
Phone (919) 870-1201

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
9487NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heath B Brantley, DDS Current Accepting new patients
K. Kevin Neshat, DDS, MD, PA Past Accepting new patients

Locations

3200 Wendell Blvd
Wendell, NC 27591
Phone (919) 365-3127

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1467899633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10941 RAVEN RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146487",
            "telephone_number": "919-870-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 RAVEN RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146487",
            "telephone_number": "919-870-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "HEATH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.