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DR. BRANDON KENNETH TIEK DDS
NPI 1780754960
Dentist - General Practice in Kokomo, IN

Active since November 08, 2006Opted out of Medicare · through Nov 17, 2026
2362 W BOULEVARD STE B, KOKOMO, IN 46902(765) 236-1570(765) 236-1571 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Mar 19, 2025 (2 updates tracked since 2025).

About Dr. Brandon Kenneth Tiek Dds NPPES

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

DR. BRANDON KENNETH TIEK DDS (NPI 1780754960) is an individual general practice provider in Kokomo, Indiana, licensed in Indiana (12010566) and active in the NPI registry since November 2006. He has opted out of Medicare through November 17, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780754960
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRANDON KENNETH TIEKCredential: DDS
Location Address2362 W BOULEVARD STE BKokomo, IN 46902-6081
Mailing Address2362 W Boulevard Ste BKokomo, IN 46902-6081 · (765) 236-1570 · Fax (765) 236-1571
Phone(765) 236-1570
Fax(765) 236-1571
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1780754960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12010566
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2362 W BOULEVARD STE B, Kokomo, IN 46902
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Brandon Kenneth Tiek Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 17, 2016 through November 17, 2026.

Opt-Out Effective DateNovember 17, 2016
Opt-Out In Effect ThroughNovember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 Tiek's NPI number?

The NPI number for Brandon Tiek is 1780754960. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Brandon Tiek located?

Brandon Tiek practices at 2362 W Boulevard Ste B, Kokomo, IN 46902. The listed phone number is (765) 236-1570.

What is Brandon Tiek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brandon Tiek enrolled in Medicare?

No. Brandon Tiek has opted out of Medicare through November 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brandon Tiek accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana and 3 other insurers list Brandon Tiek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Tiek was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.