NPIMap

Organization Active NPI

Brandon Coleman, DDS, PLLC

  • Periodontics
  • Winchester, VA
National Provider Identifier
1962398537
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
BRANDON COLEMAN, DDS, PLLC
Practice address
1805 Plaza Dr
Winchester, VA 22601-6365
Phone
(540) 535-0401
Fax
(540) 456-0023
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Janna S. Peyton
Title
Practice Manager
Phone
(540) 431-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1805 Plaza Dr
Winchester, VA 22601-6365

Mailing address

1805 Plaza Dr
Winchester, VA 22601-6365
Phone (540) 535-0401

Other practice location 1

111 Tavern Rd
Martinsburg, WV 25401-2841
Phone (540) 431-9932

National Provider Directory

National Provider Directory

Locations

1805 Plaza Dr
Winchester, VA 22601
Phone (540) 535-0401

111 Tavern Rd
Martinsburg, WV 25401
Phone (304) 267-3928

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1962398537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PLAZA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016365",
            "telephone_number": "540-535-0401",
            "fax_number": "540-456-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PLAZA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016365",
            "telephone_number": "540-535-0401",
            "fax_number": "540-456-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Tavern Rd",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012841",
            "country_code": "US",
            "telephone_number": "540-431-9932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANDON COLEMAN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-431-9932"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.