Active NPI
Raphael A Brandao, DMD
- Dentist
- Cape Coral, FL
National Provider Identifier
1932755691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26709
- Practice address
- 316 Del Prado Blvd S
Cape Coral, FL 33990-1710 - Phone
- (239) 226-4620
- Fax
- (239) 458-2267
- NPI assigned
- Aug 16, 2019
- Last updated
- May 9, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN26709 | FL | Primary |
| Dentist | 122300000X | DE60967757 | WA |
Addresses
Primary practice location
316 Del Prado Blvd S
Cape Coral, FL 33990-1710
Mailing address
PO Box 919771
Orlando, FL 32891-7966
Phone (239) 278-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20220523001794 | FL | Practitioner - Dentist | 0042697526 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN26709 | FL | MD | Dentist |
| DE60967757 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson.Ferguson,Steinhart. James.PLLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Apple Valley Dental and Braces
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pasco, WA
- NPI 1649617861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1932755691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919771",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328917966",
"telephone_number": "239-278-3600",
"fax_number": "239-479-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339901710",
"telephone_number": "239-226-4620",
"fax_number": "239-458-2267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDAO",
"first_name": "RAPHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-16",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26709",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60967757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.