Brandon Knapp, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D12103 Issued in OR

Practice address

2434 NW Professional Dr
Corvallis, OR 97330-3991

Phone

(541) 758-3604

NPI assigned

Mar 29, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• James Kolby Robinson, DMD

  • Dental Clinic/Center
  • Corvallis, OR
  • NPI 1447893870
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1619555125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 NW PROFESSIONAL DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 NW PROFESSIONAL DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303991",
            "telephone_number": "541-758-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "BRANDON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D12103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Kitchen, RD
• Russa Ingris Kittredge
• Alon Klamkin, M.S.
• Jennifer Renee Kloosterman-Walls, CADC-R
• Matthew Louis Klug, DO
• Cindy M. Knapp, M.S., L.M.F.T.
• Wallace H Knapp, M.D.
• Karli Knaust
• Amy Christine Knight
• Charles BG Knight, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.