Brian Peter Krandell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10600 Issued in MD

Practice address

20528 Boland Farm Rd
Suite 206
Germantown, MD 20876-4021

Phone

(301) 515-7880

Fax

(301) 515-7882

NPI assigned

Apr 17, 2007

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

Enrolled in MD

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

Medicare enrollment (NPD)

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.

• Brian P Krandell DDS PA

  • General Practice Dentistry
  • Germantown, MD
  • NPI 1184838476
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881810364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD",
            "address_2": "SUITE 206",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764021",
            "telephone_number": "301-515-7880",
            "fax_number": "301-515-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD",
            "address_2": "SUITE 206",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764021",
            "telephone_number": "301-515-7880",
            "fax_number": "301-515-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANDELL",
        "first_name": "BRIAN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Pauline Kom
• Ezekiel Koomson
• Tiffany Kopp
• Haley Kornak
• Kourosh Mehrabian DDS & Associates PC
• Monica J Kraus, LCSW-C
• Joy D Kreskow, CRNP
• Wanai Sen Kum, PHARMD
• Anoop Kumar, M.D.
• Masood Kureshi, D.C.

• Dentist in Germantown, MD
• Providers in Germantown, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.