Individual provider Active NPI

Brendan Andrew Schleyer, DDS, MS

  • Periodontics
  • Albuquerque, NM
National Provider Identifier
1841850278
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DD5582 Issued in NM
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

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407002668 MO Order and Referring Only - DentistPractitioner - DentistPractitioner - Periodontics 9638644610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D14308MNMDDentist
DD5582NMMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Delivery Systems of Maple Grove LLC PastSince May 18, 2025 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.

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

Verify at the official NPI Registry.