NPIMap

Organization Active NPI

Brandt Dental LLC

  • Dentist
  • Pleasant Hill, IA
National Provider Identifier
1487201406
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRANDT DENTAL LLC
Practice address
5075 E University Ave Ste a
Pleasant Hill, IA 50327-7001
Phone
(515) 265-6484
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Ryan Mitchell Brandt, DDSNPI 1083960371
Title
Dentist/Owner
Phone
(515) 460-6303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5075 E University Ave Ste a
Pleasant Hill, IA 50327-7001

Mailing address

5075 E University Ave Ste a
Pleasant Hill, IA 50327-7001
Phone (515) 265-6484

Other names 1

  • Pleasant Hill Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5075 E University Ave
Ste A
Pleasant Hill, IA 50327
Phone (515) 265-6484

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1487201406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 E UNIVERSITY AVE STE A",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503277001",
            "telephone_number": "515-265-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 E UNIVERSITY AVE STE A",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503277001",
            "telephone_number": "515-265-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "515-460-6303",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Hill Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.