Colin Brannagan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014083A Issued in IN

Practice address

10506 Coldwater Rd
Fort Wayne, IN 46845-1235

Phone

(260) 637-6976

NPI assigned

May 24, 2023

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.

• Ronald L Rumbaugh DDS PC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1578959375
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1841982105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STEPHENS RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451235",
            "telephone_number": "260-637-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAGAN",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014083A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie L Brandon, MD
• Haley Brandt
• Sarah Nicole Brandt
• Alyce Danielle Branham, LSW
• Troy Branigan II
• Paige Riley Bransteter
• Emily Branstetter, DPT
• Geoffrey Bratsberg, PA-C
• Nicholas Ray Brauchler, MS
• Caroline Braun

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.