Gunner Lane Brantley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2024038491 Issued in MO

Practice address

511 N Ridgeview Dr
Warrensburg, MO 64093-9336

Phone

(660) 747-9117

NPI assigned

Jun 7, 2023

Sex

Male

Sole proprietor

No

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

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.

• Ridgeview Family Dental R McKell Young DMD PC

  • General Practice Dentistry
  • Warrensburg, MO
  • NPI 1407571516

  General Practice

  NPD
• Ridgeview Family Dental Warrensburg, PLLC

  • Dental Clinic/Center
  • Warrensburg, MO
  • NPI 1053182295
  NPD
• Willow Dental LLC

  • Dentist
  • Omaha, NE
  • NPI 1477227551
  NPD
• Richard D. Fitzgerald, DDS, PC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1932235645

  General Practice

  NPD (past)

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1679267116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N RIDGEVIEW DR",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939336",
            "telephone_number": "660-747-9117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5709 NW Radial Hwy",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681044141",
            "country_code": "US",
            "telephone_number": "402-551-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "GUNNER",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7910",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2024038491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Bowman
• Robert Bowman
• Bradford G Carper Sr DO PC
• Emma Braley
• Skylar Page Brandes
• Keyen Marcus Braughton
• Brightside Home Care LLC
• Margaret A Brigman, MS CCC SLP
• Bristol Care, Inc.
• Jayne R Brockhaus, M.D.

• All providers in Warrensburg, MO
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.