DR. BRANDON C PAYNE (NPI# 1285772301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285772301 |
| Entity Type | Individual |
| Full Name | DR. BRANDON C PAYNE |
| Credential | D.D.S., M.D. |
| Practice Address |
4728 Eagleridge Cir Ste 110 Pueblo CO 81008-2196 |
| Practice Telephone | 7195424546 |
| Practice Fax Number | 7195424548 |
| Mailing Telephone | 7195424546 |
| Mailing Fax Number | 7195424548 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10136 | CO | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 50000 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 33987220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205381654 | Brandon Payne | Counselor | 4780 Bayfield Rd, Allison Park, PA 15101-1058 | 2016-08-15 |
| 1891323929 | Brandon Payne | Student in an Organized Health Care Education/Training Program | 701 W 5th St Ste 1229, Odessa, TX 79763-4206 | 2020-04-01 |
| 1356864524 | Brandon Charles Payne | Specialist/Technologist | 921 S 8th Ave Stop 8173, Pocatello, ID 83209-0002 | 2017-07-19 |
| 1336489517 | Brandon Payne | Counselor | 165 Roanoke Rd, El Cajon, CA 92020-4015 | 2013-02-25 |
| Street Address |
4728 EAGLERIDGE CIR STE 110 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1790993376 | Brandon C. Payne D.d.s., M.d., P.C. | Dentist | 1619 N Greenwood St Ste 102, Pueblo, CO 81003-2655 | 2007-05-18 |
| 1780749176 | Gregory Nelson Day | Dentist | 3902 Sandlewood Ln, Pueblo, CO 81005-7501 | 2006-12-26 |
| 1952712069 | Eric Ringer | Dentist | 3691 Parker Blvd Ste 200, Pueblo, CO 81008 | 2014-05-12 |
| 1952627598 | Karl J Hapcic M.d., LLC | Dentist | 1315 S Pueblo Blvd, Suite 110, Pueblo, CO 81005-2191 | 2010-04-07 |
| 1528237641 | Gregory N Day Dds Oral Surgury PC | Dentist | 3902 Sandlewood Ln, Suite 110, Pueblo, CO 81005-7501 | 2008-02-22 |
| 1013051689 | Joseph P Zufall | Dentist | 1930 E Orman Ave, Pueblo, CO 81004-3553 | 2007-02-16 |
| 1659311678 | Wayne Frank Payne | Dentist | 1619 N Greenwood St, Suite 102, Pueblo, CO 81003-2644 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071189 | Oms Associates Colorado PC | Dentist | 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 | 2020-10-26 |
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1740889260 | Oms Associates Colorado PC | Dentist | 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 | 2020-10-26 |
| 1386266070 | Blue Sky Oms P.C. | Dentist | 1707 61st Ave Ste 102, Greeley, CO 80634-7997 | 2020-05-15 |
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1790292431 | Alix Greenman | Dentist | 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 | 2018-01-03 |
| 1467967307 | Boulder Oral Surgery | Dentist | 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 | 2017-12-13 |
| Find all providers with the same taxonomy | ||||
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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.