Active NPI
Julia Brainard, DMD
- Dentist
- Sheboygan, WI
National Provider Identifier
1942056205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001510
- Practice address
- 1721 Saemann Ave
Sheboygan, WI 53081-2342 - Phone
- (920) 783-6633
- NPI assigned
- Apr 27, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6001510 | WI | Primary |
Addresses
Primary practice location
1721 Saemann Ave
Sheboygan, WI 53081-2342
Mailing address
2019 S Lincoln Ave
Lombard, IL 60148-6172
Phone (218) 415-0774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20240726002437 | WI | Order and Referring Only - Dentist | 9537605472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001510 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1942056205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 S LINCOLN AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486172",
"telephone_number": "218-415-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 SAEMANN AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530812342",
"telephone_number": "920-783-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAINARD",
"first_name": "JULIA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-27",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.