Brandon Kenneth Tiek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010566 Issued in IN

Practice address

2362 W Boulevard Ste B
Kokomo, IN 46902-6081

Phone

(765) 236-1570

Fax

(765) 236-1571

NPI assigned

Nov 8, 2006

Last updated

Dec 2, 2025By the provider in NPPES

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

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

Yes, effective Nov 17, 2016 through Nov 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Professionals of Indiana, P.C.

  dba Perfect Smiles Dental Care

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1114130432
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1780754960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 W BOULEVARD STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026081",
            "telephone_number": "765-236-1570",
            "fax_number": "765-236-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 W BOULEVARD STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026081",
            "telephone_number": "765-236-1570",
            "fax_number": "765-236-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEK",
        "first_name": "BRANDON",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ann Thomson
• Nikaylah Threlkeld
• Rhys Threlkeld
• Anuradha Thumuluri, MD
• Laney Marie Thurston
• Hunter Tierney, LMHC
• Devan Tyler Tilley
• TLC Transitions Life Center LLC
• Samantha Rae Tolley-Musall, FNP-C
• Trentyn Michael Toney, RBT

• General Practice Dentistry in Kokomo, IN
• Providers in Kokomo, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.