Brandon Kent Farrell DDS PA II

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4592 Issued in NC

Legal business name

BRANDON KENT FARRELL DDS PA II

Practice address

1300 Bridge Barrier Rd
Carolina Beach, NC 28428-3938

Phone

(910) 458-9401

Fax

(910) 458-3495

NPI assigned

Dec 3, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry C Farrell

Title

President

Phone

(910) 508-2346

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Robert Smith, DDS

  • General Practice Dentistry
  • Carolina Beach, NC
  • NPI 1184635302
  NPD (past)
• Timothy C Swing, DDS

  • Dentist
  • Carolina Beach, NC
  • NPI 1578724712
  NPD (past)

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1801124789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283938",
            "telephone_number": "910-458-9401",
            "fax_number": "910-458-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283938",
            "telephone_number": "910-458-9401",
            "fax_number": "910-458-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON KENT FARRELL DDS PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-508-2346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8316",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997952",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Lee Becken, PT
• Haley Belcher, FNP
• Benchmark Physical Therapy of NC, LLC
• Heather Black, DNP
• Halyn Blackburn, FNP-C
• Damian Brezinski, MD
• Paula Conaway Bruner, PA
• Robert A Bucciere, LCSW
• John B Callahan, BSW, MPA, CCM
• Carolina Beach Counseling, LLC

• General Practice Dentistry in Carolina Beach, NC
• Providers in Carolina Beach, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.