Active NPI
Brandon Kratz, DDS
- Dentist
- Cincinnati, OH
National Provider Identifier
1538721444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.026085
- Practice address
- 3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399 - Phone
- (417) 272-3352
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2019020710 | MO | |
| Dentist | 122300000X | 30.026085 | OH | Primary |
Addresses
Primary practice location
3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399
Mailing address
3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399
Phone (417) 988-2424
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019020710 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Brandon Kratz DDS LLC | General Practice | Current | Accepting new patients |
| Ascend Branson West LLC | Past | Accepting new patients |
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.
-
dba Creve Coeur Family and Sedation Dentistry
- General Practice Dentistry
- Creve Coeur, MO
- NPI 1154004273
-
- Dental Clinic/Center
- Branson West, MO
- NPI 1811641749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609027200000",
"number": "1538721444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 PAXTON AVE STE 12A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452092399",
"telephone_number": "417-988-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 PAXTON AVE STE 12A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452092399",
"telephone_number": "417-272-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATZ",
"first_name": "BRANDON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2020-12-27",
"certification_date": "2020-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2019020710",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.