Brianne Courtney Desantis, D.M.D., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

17127 Issued in FL

Practice address

106 N Old Kings Rd
Suite C
Ormond Beach, FL 32174-9505

Phone

(386) 672-4981

NPI assigned

Nov 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1528394129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIVER LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321763555",
            "telephone_number": "386-441-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N OLD KINGS RD",
            "address_2": "SUITE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749505",
            "telephone_number": "386-672-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "BRIANNE",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "17127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Denninghoff
• Kimberly Rose Dennis, DMD
• Kristin L Deringer
• Mark Derouaux, PT
• Rachel Leigh Derwick, ARNP
• Katelyn Marie Deshon
• Design for Independence LLC
• Ellen Nicole Desimone, A.R.N.P.
• James Dessoye
• Andrew Devries

• Orthodontics and Dentofacial Orthopedics Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.