Organization Active NPI

Brandi Berland R.D.H., LTD

  • Dental Hygienist
  • Kenosha, WI
National Provider Identifier
1659613115
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
9824-16 Issued in WI
Legal business name
BRANDI BERLAND R.D.H., LTD
Practice address
11216 61St St
Kenosha, WI 53142-7261
Phone
(262) 764-5237
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Mrs. Brandi Lynn Berland, R.D.HNPI 1992024566
Title
Registered Dental Hygienist
Phone
(414) 403-7181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 9824-16 WI Primary

Addresses

Primary practice location

11216 61St St
Kenosha, WI 53142-7261

Mailing address

11216 61St St
Kenosha, WI 53142-7261
Phone (262) 764-5237

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1659613115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 61ST ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427261",
            "telephone_number": "262-764-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 61ST ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427261",
            "telephone_number": "262-764-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDI BERLAND R.D.H., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "BERLAND",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "414-403-7181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.H"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "9824-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.