Active NPI
Brandy Malia Dale
- General Practice Dentistry
- Littleton, CO
National Provider Identifier
1861784159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10494
- Practice address
- 26 W Dry Creek Cir Ste 430
Littleton, CO 80120-4475 - Phone
- (720) 438-9017
- NPI assigned
- May 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 10494 | CO | Primary |
Addresses
Primary practice location
26 W Dry Creek Cir Ste 430
Littleton, CO 80120-4475
Mailing address
7022 S Lamar St
Littleton, CO 80128-3914
Phone (720) 438-9017
Other practice location 1
1050 W Perimeter Rd. Ste B5-19
779 MDG
Andrews AFB, MD 20762
Phone (720) 438-9017
Other names 1
- Brandy Dale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20230306001480 | CO | Order and Referring Only - Dentist | 6800269275 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10494 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandy M Dale DDS PLLC | General Practice | Current | Accepting new patients |
Locations
26 W Dry Creek Cir
Ste 430
Littleton, CO 80120
Phone (303) 794-6959
Organizations & group practices 1
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
- Littleton, CO
- NPI 1952026171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1861784159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7022 S LAMAR ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801283914",
"telephone_number": "720-438-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 W DRY CREEK CIR STE 430",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801204475",
"telephone_number": "720-438-9017"
}
],
"practiceLocations": [
{
"address_1": "1050 W Perimeter Rd. Ste B5-19",
"address_2": "779 MDG",
"address_purpose": "LOCATION",
"city": "Andrews AFB",
"state": "MD",
"postal_code": "20762",
"country_code": "US",
"telephone_number": "720-438-9017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALE",
"first_name": "BRANDY",
"middle_name": "MALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "DALE",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.