BRETT JOSEPH CARRANZA (NPI# 1407011513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407011513 |
| Entity Type | Individual |
| Full Name | BRETT JOSEPH CARRANZA |
| Credential | DDS |
| Practice Address |
218 W 39th St Kearney NE 68845-2802 |
| Practice Telephone | 4024804466 |
| Mailing Telephone | 4024804466 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6781 | NE | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6781 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | DENTAL LICENSE | 6781 | 01 |
| Street Address |
218 W 39TH ST |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528018744 | Samuel Lawrence Schrock | Chiropractor | 218 W 39th St, Kearney, NE 68845-2802 | 2006-05-10 |
| 1417432105 | Platinum Dental Studio | Clinic/Center | 218 W 39th St, Kearney, NE 68845-2802 | 2018-09-27 |
| 1760910194 | Kearney Pediatric Dentistry, L.L.C. | Dentist | 218 W 39th St, Kearney, NE 68845-2802 | 2017-05-30 |
| 1437419785 | Camie Kay Rose | Chiropractor | 218 W 39th St, Kearney, NE 68845-2802 | 2012-05-21 |
| 1437397593 | Ty Thomas Dworak | Chiropractor | 218 W 39th St, Kearney, NE 68845-2802 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068009 | Hometown Pediatric Dentistry LLC | Dentist | 301 S Platte Clay Way Ste A, Kearney, MO 64060-8826 | 2020-06-18 |
| 1154431591 | Teresa L Poorman | Dentist | 121 E 31st St, Kearney, NE 68847-3001 | 2006-08-30 |
| 1760910194 | Kearney Pediatric Dentistry, L.L.C. | Dentist | 218 W 39th St, Kearney, NE 68845-2802 | 2017-05-30 |
| 1316203433 | Tooth Fairy PC | Dentist | 121 E 31st St, Kearney, NE 68847-3001 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1598243511 | Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC | Dentist | 2410 S 73rd St Ste 203, Omaha, NE 68124-2395 | 2018-08-01 |
| 1508375023 | Pediatric Dentistry of Nebraska | Dentist | 820 W 42nd St Ste 1400, Scottsbluff, NE 69361-4704 | 2017-09-27 |
| 1083135545 | Roy S Burkhalter IIi | Dentist | 4000 East Campus Loop, Lincoln, NE 68583-0740 | 2017-07-05 |
| 1023481066 | Eric D Hodges Dds PC | Dentist | 2410 So. 73rd St., Omaha, NE 68124-2395 | 2015-11-12 |
| 1407285844 | Smile Station Pediatric Dentistry | Dentist | 6801 S 180th St, Omaha, NE 68135-3264 | 2013-11-06 |
| 1285074443 | Amanda M Snyder | Dentist | 2521 S 119th St, Omaha, NE 68144-2976 | 2013-07-02 |
| 1386984441 | Gregory Fought Dds PC | Dentist | 8600 Executive Woods Dr, Suite 100, Lincoln, NE 68512-9301 | 2013-02-26 |
| 1407105299 | Lincoln Pediatric Dentistry | Dentist | 4301 S 80th St, Suite A, Lincoln, NE 68516-4404 | 2012-09-07 |
| 1255697231 | Smile Station | Dentist | 17935 Welch Plz Ste 104, Omaha, NE 68135-3596 | 2012-04-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRETT JOSEPH CARRANZA.
| 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.