Brandon James Locke

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25075 Issued in MT

Practice address

1015 S Broadway
Minot, ND 58701-4667

Phone

(701) 838-1123

NPI assigned

Jun 29, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brandon Locke DDS PLC

  • Dentist
  • Great Falls, MT
  • NPI 1851252803
  NPD
• Dr Alan Napoles DDS PLLC

  • General Practice Dentistry
  • Minot, ND
  • NPI 1972167799
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1902476385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 15TH ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016027",
            "telephone_number": "406-590-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-838-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3451 S Broadway Ste B",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017419",
            "country_code": "US",
            "telephone_number": "701-858-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-04-07",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2438",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "25075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lipp Chiropractic Clinic, PC
• Steven J Lipp, DC
• Remza Little
• Living Life Physical Therapy
• Eden Lizotte, SLP
• Eric Locken
• Dawn Lockrem
• Mary Elizabeth Logue, M.D.
• Orvin G. Lommen, LICSW
• Jackie Long, M.D.

• General Practice Dentistry in Minot, ND
• Providers in Minot, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.