Individual provider Active NPI

Brandon Eugene Dreier, DMD

  • General Practice Dentistry
  • Janesville, WI
National Provider Identifier
1730528019
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1001416-15 Issued in WI
Practice address
2203 Holiday Dr
Janesville, WI 53545-0317
Phone
(608) 752-2931
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1001416-15 WI Primary

Addresses

Primary practice location

2203 Holiday Dr
Janesville, WI 53545-0317

Mailing address

2203 Holiday Dr
Janesville, WI 53545-0317
Phone (608) 752-2931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 23, 2016 through Aug 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1001416-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Winter & Winter SC General Practice Past Accepting new patients
Dreier Family Dental 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1730528019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 HOLIDAY DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450317",
            "telephone_number": "608-752-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 HOLIDAY DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450317",
            "telephone_number": "608-752-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREIER",
        "first_name": "BRANDON",
        "middle_name": "EUGENE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001416-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.