Brandon Michael Piper, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027684 Issued in IL

Practice address

469 W Wood St
Decatur, IL 62522-3109

Phone

(217) 428-3512

Fax

(217) 428-3525

NPI assigned

Nov 6, 2009

Sex

Male

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brandon M. Piper, DMD, P.C.

  • General Practice Dentistry
  • Decatur, IL
  • NPI 1396074969
  NPD (past) Authorized official

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1598092801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W WOOD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625223109",
            "telephone_number": "217-428-3512",
            "fax_number": "217-428-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W WOOD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625223109",
            "telephone_number": "217-428-3512",
            "fax_number": "217-428-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Diann Pieper, CRNA, DNP
• Chandra Anisha Pierson-Rye, DNP FNP-BC PMHNP-BC
• Lynae Aileen Pierson, DPM
• Linda S Pietrzak, NP
• Lena M Pinkston, LSW, CADC
• Shannon E Pivoney, LCPC
• Planned Parenthood of Decatur, Inc.
• Planned Parenthood of Illinois
• Juanette M Plato
• Pleasant Counseling LLC

• General Practice Dentistry in Decatur, IL
• Providers in Decatur, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.