DR. EMILLIE CLAIRE BRANDT (NPI# 1376036665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376036665 |
| Entity Type | Individual |
| Full Name | DR. EMILLIE CLAIRE BRANDT |
| Credential | DDS |
| Practice Address |
559 Vincent St Peterson Afb CO 80914-1541 |
| Practice Telephone | 8508838324 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS-09562 | IA | Dental Providers |
| Street Address |
559 VINCENT ST |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797080 | Keith Andrew Baker | Family Medicine | 559 Vincent St, 21 Mdos/sgof -fam Hlth, Peterson Afb, CO 80914-1540 | 2005-06-01 |
| 1912475740 | Julian G Fiorina | Family Medicine | 559 Vincent St, Peterson Afb, CO 80914-1541 | 2018-11-09 |
| 1740776970 | Chelsea M. Cruz | Nurse Practitioner | 559 Vincent St, Peterson Afb, CO 80914-1541 | 2018-07-11 |
| 1164911053 | Renee Antoinette Smith | Dentist | 559 Vincent St, Peterson Afb, CO 80914-1540 | 2018-05-07 |
| 1720582448 | Cristina Cosner | Military Health Care Provider | 559 Vincent St, Attn: 21 Mdos/sgof - Flight Med, Peterson Afb, CO 80914-1540 | 2018-03-19 |
| 1619476504 | Clarissa Reno | Registered Nurse | 559 Vincent St, Peterson Afb, CO 80914-1541 | 2018-02-06 |
| 1891159463 | Tialicka Burgos Johnson | Registered Nurse | 559 Vincent St, Attn: 21 Mdos/sgog - Women's Health, Peterson Afb, CO 80914-1540 | 2016-04-11 |
| 1114385747 | Jeffrey A Turner | Physical Therapist | 559 Vincent St, Attn: 21 Mdos/sgoy - Physical Therapy, Peterson Afb, CO 80914-1540 | 2016-02-10 |
| 1689046500 | Christine Chanmyaethu Tun | Physician Assistant | 559 Vincent St, Attn: 21 Mods/sgof - Family Health, Peterson Afb, CO 80914-1540 | 2015-10-30 |
| 1023489556 | Elizabeth Bator | Nurse Practitioner | 559 Vincent St, Attn: 21 Mdos/sgof - Family Practice, Peterson Afb, CO 80914-1540 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1275712895 | Monica Ibarra | Counselor | 559 Vincent St., Attn: 21 Mdos/sgow - Family Advocacy, Peterson Afb, CO 80914 | 2007-10-31 |
| 1912258591 | Ruth Angela Monsanto-williams | Nurse Practitioner | 110 West Ent Ave, Peterson Afb, 21st Medical Group, Colorado Springs, CO 80914-1540 | 2012-09-24 |
| Find all providers in zip 80914 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895996 | Brent Eric Havey | Dentist | 1045 E. Stewart, Bldg 1045 T, Peterson Afb, CO 80914-1540 | 2006-01-10 |
| 1760843437 | Matthew Jeffrey Parrish | Dentist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2016-03-09 |
| 1598179772 | Andrew Rhoads Glynn | Dentist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2014-06-17 |
| 1073760005 | Steven Michael Bennett Jr. | Dentist | 110 W. Ent Ave, Attn: 21 Mds/sgod - Schriever Dental Clinic, Peterson Afb, CO 80914-1540 | 2008-08-21 |
| 1942263199 | Chad R Raper | Dentist | 559 Vincent St, Attn: 21 Ds/ Sgdd - Dental Clinic, Peterson Afb, CO 80914-1541 | 2006-04-10 |
| 1003880980 | James Neal Sutherland | Dentist | 559 Vincent St, Peterson Afb, CO 80914-1540 | 2006-02-15 |
| 1972575645 | John Franklin Watkins IIi | Dentist | 110 W Ent Ave, Attn 2, 21ds/sggd, Peterson Afb, CO 80914-1540 | 2006-02-06 |
| 1023080256 | Wayne Erwin Grabow | Dentist | 559 Vincent St, 21 Ds/sggd-dental Clinic, Peterson Afb, CO 80914-1540 | 2006-02-02 |
| 1346233814 | Francesca Vasta-falldorf | Dentist | 559 Vincent St, Attn: 21 Ds - Dental Clinic, Peterson Afb, CO 80914-1540 | 2005-08-30 |
| 1528051158 | Christopher Kyle Parris | Dentist | 559 Vincent St, Attn: 21 Ds/sggd, Peterson Afb, CO 80914-1540 | 2005-08-30 |
| Find all providers in PETERSON AFB | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.