Individual provider Active NPI

Brianna B. Hammer, D.D.S.

  • Dentist
  • Orono, MN
National Provider Identifier
1497136014
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13540 Issued in MN
Practice address
2765 Kelley Parkway
Suite 140
Orono, MN 55356
Phone
(952) 449-9494
Fax
(952) 449-9499
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13540 MN
Dentist 122300000X D13540 MN Primary

Addresses

Primary practice location

2765 Kelley Parkway
Suite 140
Orono, MN 55356

Mailing address

2765 Kelley Parkway
Suite 140
Orono, MN 55356
Phone (952) 449-9494

Other names 1

  • Brianna B. Berg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120000316 MN Order and Referring Only - DentistPractitioner - Dentist 7113220575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orono Dental Care PC General Practice CurrentSince Aug 28, 2021 Accepting new patients
Maple Plain Dental, PLLC General Practice Past Accepting new patients

Locations

2765 Kelley Pkwy
Ste 140
Orono, MN 55356
Phone (763) 420-6834

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1497136014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 KELLEY PARKWAY",
            "address_2": "SUITE 140",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "55356",
            "telephone_number": "952-449-9494",
            "fax_number": "952-449-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 KELLEY PARKWAY",
            "address_2": "SUITE 140",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "55356",
            "telephone_number": "952-449-9494",
            "fax_number": "952-449-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "BRIANNA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13540",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "BERG",
            "middle_name": "B.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orono, MN

Sources for this page

Verify at the official NPI Registry.