Individual provider Active NPI

Brandon Morris Stapleton, DMD

  • Prosthodontics
  • Lexington, KY
National Provider Identifier
1861781031
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9038 Issued in KY
Practice address
541 Darby Creek Road Ste 190
Lexington, KY 40509-1701
Phone
(859) 287-2484
Fax
(859) 287-2463
NPI assigned
Mar 28, 2011
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 9038 KY Primary

Addresses

Primary practice location

541 Darby Creek Road Ste 190
Lexington, KY 40509-1701

Mailing address

541 Darby Creek Road Suite 190
Lexington, KY 40509-2710
Phone (606) 205-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Identity PLLC CurrentSince May 9, 2017 Accepting new patients

Locations

541 Darby Creek Rd
Ste 190
Lexington, KY 40509
Phone (859) 287-2484

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1861781031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 DARBY CREEK ROAD SUITE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092710",
            "telephone_number": "606-205-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 DARBY CREEK ROAD STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091701",
            "telephone_number": "859-287-2484",
            "fax_number": "859-287-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "BRANDON",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "KY",
            "license": "9038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.