Brandt Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901019119 Issued in MI

Legal business name

BRANDT ENDODONTICS

Doing business as

Ryan Brandt

Practice address

1001 Laurence Ave
Suite a
Jackson, MI 49202-2979

Phone

(517) 795-2154

Fax

(517) 795-2635

NPI assigned

Mar 19, 2013

Last updated

Apr 4, 2013By 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

Dr. Ryan Gregory Brandt, DDS.MS

Title

Endodontist/Owner

Phone

(517) 795-2154

Specialties & licenses 1

Addresses

Other names 1

• Ryan Brandt Doing business as

Locations

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1841532793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAURENCE AVE",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022979",
            "telephone_number": "517-795-2154",
            "fax_number": "517-795-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAURENCE AVE",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022979",
            "telephone_number": "517-795-2154",
            "fax_number": "517-795-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "ENDODONTIST/OWNER",
        "authorized_official_telephone_number": "517-795-2154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS.MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901019119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Brandt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan F. Bradley, MD
• Keisha Bradley
• Annissa Elaine Brady
• Kristen Brady, MSN, RN, CRNA
• Brittany Bragg
• Roberta Wright Brandt, MS, PA-C
• Cinamon Branigan, LMSW
• Alexandra Brankovich-Esham
• Blake Brannick
• Rachel Bray

• Endodontics in Jackson, MI
• Providers in Jackson, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.