Brandon Robert Doerr, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2014016770 Issued in MO

Practice address

605 Old Ballas Rd
Suite 118
Saint Louis, MO 63141-7000

Phone

(314) 993-5310

NPI assigned

Jun 6, 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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.

  dba Premier Dental Partners Oral Surgery and Dental Implant Center

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1336280841
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1790198711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 KOALA DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853358",
            "telephone_number": "636-578-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD",
            "address_2": "SUITE 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417000",
            "telephone_number": "314-993-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014016770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doell Davidson & Associates Optometry PC (Webster Eyecare)
• Doell, Davidson & Associates (Center for Vision & Learning)
• Emma Rose Doenier, MD
• Faye E Doerhoff, MD
• Daniel Doering, RPH
• Danielle Louise Doerr, M.D.
• Michael Doerr
• Shana Doerr
• Paul Dohearty, LPC
• Christina Geiger Doherty, MD

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.