Individual provider Active NPI

Nicholas Brammer, D.D.S.

  • General Practice Dentistry
  • Hillsboro, OR
National Provider Identifier
1508252404
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10205 Issued in OR
Practice address
1001 SE Tualatin Valley Hwy Ste A16
Hillsboro, OR 97123-4977
Phone
(971) 600-2484
NPI assigned
Apr 8, 2015
Last updated
Apr 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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 D10205 OR Primary

Addresses

Primary practice location

1001 SE Tualatin Valley Hwy Ste A16
Hillsboro, OR 97123-4977

Mailing address

1001 SE Tualatin Valley Hwy Ste A16
Hillsboro, OR 97123-4977
Phone (971) 600-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170110003318 OR Order and Referring Only - DentistPractitioner - Dentist 1052692852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1508252404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE TUALATIN VALLEY HWY STE A16",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234977",
            "telephone_number": "971-600-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE TUALATIN VALLEY HWY STE A16",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234977",
            "telephone_number": "971-600-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMMER",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.