BRANDON C. PAYNE D.D.S., M.D., P.C. (NPI# 1790993376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790993376 |
| Entity Type | Organization |
| Organization Name | BRANDON C. PAYNE D.D.S., M.D., P.C. |
| Practice Address |
1619 N Greenwood St Ste 102 Pueblo CO 81003-2655 |
| Mailing Address |
1619 N Greenwood St Suite 102 Pueblo CO 81003-2644 |
| Practice Telephone | 7195424546 |
| Practice Fax Number | 7195424548 |
| Mailing Telephone | 7195424546 |
| Mailing Fax Number | 7195424548 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | DR. BRANDON CHRISTOPHER PAYNE (PRESIDENT) |
| Authorized Official Telephone | 7195424546 |
| Authorized Official Credential | D.D.S., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10136 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 33987220 | 05 |
| Street Address |
1619 N GREENWOOD ST STE 102 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| 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 |
| 1285772301 | Brandon C Payne | Dentist | 4728 Eagleridge Cir Ste 110, Pueblo, CO 81008-2196 | 2007-02-01 |
| 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.