Brandon Michael Locke

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

063971 Issued in NY

Practice address

959 Brush Hollow Rd Ste 102
Westbury, NY 11590-1711

Phone

(516) 333-5900

NPI assigned

May 13, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Long Island Oral Surgery Associates

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Syosset, NY
  • NPI 1164614178

  Single Specialty

  NPD
• Long Island Oral Surgery Associates, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Great Neck, NY
  • NPI 1306201066

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1659861920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD STE 102",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901711",
            "telephone_number": "516-333-5900",
            "fax_number": "516-333-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD STE 102",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901711",
            "telephone_number": "516-333-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-13",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "063971",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regine Pascale Lilavois, DPT
• Alyssa Krista Lim, RN
• Alexys Lindelof
• Peter Lipinski, DPT
• Living Healthy Care Nurse Practitioner in Family Health PLLC
• Meridith B Logvin
• Luce Loiseau, RN
• Nathalie Loiseau, LPN
• Amir A Loka
• Frank Lombardo, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in Westbury, NY
• Providers in Westbury, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.