Active NPI
Brendan Andrew Schleyer, DDS, MS
- Periodontics
- Albuquerque, NM
National Provider Identifier
1841850278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DD5582
- Practice address
- 12611 Montgomery Blvd NE
Suite a-1
Albuquerque, NM 87111 - Phone
- (505) 463-2189
- NPI assigned
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D14308 | MN | |
| Periodontics | 1223P0300X | DD5582 | NM | Primary |
Addresses
Primary practice location
12611 Montgomery Blvd NE
Suite a-1
Albuquerque, NM 87111
Mailing address
2929 University Ave SE Apt 906
Minneapolis, MN 55414-4441
Phone (505) 463-2189
Other practice location 1
13899 Highway 13 S
Savage, MN 55378-2135
Phone (952) 440-2292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260407002668 | MO | Order and Referring Only - Dentist | 9638644610 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14308 | MN | MD | Dentist |
| DD5582 | NM | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Delivery Systems of Maple Grove LLC | Past | Accepting new patients | |
| Dental Delivery Systems, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Maple Grove, MN
- NPI 1760272611
-
- General Practice Dentistry
- Savage, MN
- NPI 1003988122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1841850278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 UNIVERSITY AVE SE APT 906",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554144441",
"telephone_number": "505-463-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12611 MONTGOMERY BLVD NE",
"address_2": "SUITE A-1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87111",
"telephone_number": "505-463-2189"
}
],
"practiceLocations": [
{
"address_1": "13899 Highway 13 S",
"address_purpose": "LOCATION",
"city": "Savage",
"state": "MN",
"postal_code": "553782135",
"country_code": "US",
"telephone_number": "952-440-2292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLEYER",
"first_name": "BRENDAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14308",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NM",
"license": "DD5582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.