Brandon Mizner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7180 Issued in NE

Practice address

2672 33Rd Ave
Columbus, NE 68601-2314

Phone

(402) 564-7575

Fax

(402) 564-1818

NPI assigned

Aug 21, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in NE

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

Practice roles

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.

• Brandon Mizner, DDS, LLC

  • General Practice Dentistry
  • Elkhorn, NE
  • NPI 1902775976

  General Practice

  NPD Authorized official
• Family First Dental Associates of Columbus, P.C.

  • General Practice Dentistry
  • Columbus, NE
  • NPI 1083880751

  General Practice

  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1780083154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 33RD AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012314",
            "telephone_number": "402-564-7575",
            "fax_number": "402-564-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 33RD AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012314",
            "telephone_number": "402-564-7575",
            "fax_number": "402-564-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZNER",
        "first_name": "BRANDON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Miller, M.D.
• Alicia Mills
• Nancy A Milosich
• Jacqueline Jo Mitchell, PTA
• Alicia Kay Mizner, M.D.
• Ellen Molini-Janak
• Alicia Dawn Montes
• Jessica Montes
• Gerardo Montoya Jr., PHARMD
• Todd Moon

• General Practice Dentistry in Columbus, NE
• Providers in Columbus, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.