Heidi M Brandenburg DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

D10348 Issued in MN

Legal business name

HEIDI M BRANDENBURG DDS PA

Practice address

3948 W 50TH St
Ste 201
Edina, MN 55424-1210

Phone

(952) 722-8787

Fax

(952) 922-5595

NPI assigned

Aug 4, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Heidi Marie Brandenburg, DDSNPI 1871849927

Title

Owner

Phone

(952) 922-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Heidi Marie Brandenburg, DDS

  • Dentist
  • Edina, MN
  • NPI 1871849927
  NPD (past) Authorized official

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1992706550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 W 50TH ST",
            "address_2": "STE 201",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241210",
            "telephone_number": "952-722-8787",
            "fax_number": "952-922-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 W 50TH ST",
            "address_2": "STE 201",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241210",
            "telephone_number": "952-722-8787",
            "fax_number": "952-922-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI M BRANDENBURG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-922-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "78956BR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Levi Robert Hedine, CMT
• Shruti Ulhas Hegde, PA-C
• Kari Ann Hegg, PA
• Heide'S Mastectomy Services, Inc.
• Elizabeth Anne Heidenreich, PSY.D. LP
• Marguerite Y Heie, P.T.
• Steven Heifetz, M.D.
• Christie Sue Heikes, MD
• Jonathan Heimdal, DPT
• Kathleen Ann Heimer, OTR/L, CHT

• Dentist in Edina, MN
• Providers in Edina, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.