Individual provider Active NPI

Brandy Ralynn Kleinheksel Helms, D.D.S

  • Pediatric Dentistry
  • Chippewa Falls, WI
National Provider Identifier
1619354891
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1001500 Issued in WI
Practice address
583 Lakeland Dr
Chippewa Falls, WI 54729-1689
Phone
(715) 723-2000
NPI assigned
Apr 27, 2015
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 1001500 WI Primary

Addresses

Primary practice location

583 Lakeland Dr
Chippewa Falls, WI 54729-1689

Mailing address

583 Lakeland Dr
Chippewa Falls, WI 54729-1689
Phone (157) 723-2000

Other practice location 1

201 Dental Science Bldg S
Iowa City, IA 52242-1001
Phone (319) 335-7485

Other practice location 2

306 West McMillan Street
PO Box 929
Marshfield, WI 54449
Phone (715) 387-1702

Other names 1

  • Dr. Brandy Ralynn Kleinheksel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170728002591 WI Order and Referring Only - DentistPractitioner - Dentist 0446521157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles in Motion, S.C. Pediatric Dentistry Past Accepting new patients
Dental Clinic of Marshfield SC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1619354891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 LAKELAND DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291689",
            "telephone_number": "157-723-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 LAKELAND DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291689",
            "telephone_number": "715-723-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Dental Science Bldg S",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421001",
            "country_code": "US",
            "telephone_number": "319-335-7485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 West McMillan Street",
            "address_2": "PO Box 929",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "54449",
            "country_code": "US",
            "telephone_number": "715-387-1702",
            "fax_number": "715-384-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMS",
        "first_name": "BRANDY",
        "middle_name": "RALYNN KLEINHEKSEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "KLEINHEKSEL",
            "middle_name": "RALYNN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.