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DR. BRANDON JAMES PENAZ DDS
NPI 1538428909
Dentist in Waconia, MN

Active since May 04, 2012PECOS Enrolled
8775 AIRPORT RD, WACONIA, MN 55387(952) 239-2664 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandon James Penaz Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON JAMES PENAZ DDS (NPI 1538428909) is an individual dentist in Waconia, Minnesota, licensed in Minnesota (13072) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538428909
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRANDON JAMES PENAZCredential: DDS
Location Address8775 AIRPORT RDWaconia, MN 55387-9634
Mailing Address8775 Airport RdWaconia, MN 55387-9634 · (952) 239-2664
Phone(952) 239-2664
Sole ProprietorNo
Enumeration DateMay 4, 2012
Last NPPES UpdateJune 29, 2012
✔ NPI 1538428909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · 13072
Definition
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.
8775 AIRPORT RD, Waconia, MN 55387
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon James Penaz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Penaz's NPI number?

The NPI number for Brandon Penaz is 1538428909. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Brandon Penaz located?

Brandon Penaz practices at 8775 Airport Rd, Waconia, MN 55387. The listed phone number is (952) 239-2664.

What is Brandon Penaz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brandon Penaz enrolled in Medicare?

Yes. Brandon Penaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Penaz was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.