Brendan Timothy Farrell, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

60789 Issued in KS

Practice address

3821 W 6TH St
Lawrence, KS 66049-3252

Phone

(785) 843-5490

NPI assigned

Jun 4, 2007

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 24, 2026 through Apr 24, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alamo Heights Oral Surgery, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Antonio, TX
  • NPI 1407621675
  NPD Authorized official
• Oral Surgery Kansas, LC

  dba Emporia Oral Surgery, Ottawa Oral Surgery, Lawrence Oral

  • Oral and Maxillofacial Surgery (Dentist)
  • Lawrence, KS
  • NPI 1144304643
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1033311733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493252",
            "telephone_number": "785-843-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493252",
            "telephone_number": "785-843-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710 N New Braunfels Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782093830",
            "country_code": "US",
            "telephone_number": "210-828-8500",
            "fax_number": "210-822-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "BRENDAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "60789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Fankhauser, DNAP, CRNA
• Joseph Farid, M.D.
• Farmer Family Dentistry LLC
• Kelly Ann Farmer, DDS
• Morgan Rae Farmer
• Walter P Farrell, MD
• Devin Grace Farris
• Ashley Fatool, M.S., CCC-SLP
• Cynthia M Fecchia, SW
• Darian Feehan, LMSW, LMAC

• Oral and Maxillofacial Surgery (Dentist) in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.