Peter Brenn DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PETER BRENN DDS PC

Practice address

1400 W Olive Ave Ste 101
Burbank, CA 91506-2411

Phone

(818) 563-3825

NPI assigned

Apr 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Brenn Orthodontics Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter H Brenn, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burbank, CA
  • NPI 1063510022
  NPD (past)
• Pedram Azari Marhabi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Valencia, CA
  • NPI 1669657664
  NPD (past)
• Garen Utudjian, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1285933119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1013605963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W OLIVE AVE STE 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062411",
            "telephone_number": "818-563-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W OLIVE AVE STE 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062411",
            "telephone_number": "818-563-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BRENN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brenn Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Peric, MD
• Kulwalee Permpearn
• Jaclyn Perry
• Patricia Perry, MD
• Personal Care Hospice Services, Inc
• Peter Chirico
• Remy Leigh Peters, RD CNSC
• Petrossian Pharmacy Inc
• Melanie Petrossian, FNP-C
• Narbeh Petrossian

• Orthodontics and Dentofacial Orthopedics Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.