Scott A Brezinsky, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D12400 Issued in MN

Practice address

1100 N Lynndale Dr
Appleton, WI 54914-3011

Phone

(920) 731-4484

NPI assigned

Jun 12, 2007

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Valley Endodontics LTD

  • Endodontics
  • Appleton, WI
  • NPI 1992890198
  NPD (past)
• Valley Vna Health Systems Inc

  dba Valley VNA Senior Services

  • Voluntary or Charitable Agency
  • Neenah, WI
  • NPI 1992783856
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1033313358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LYNNDALE DR N",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54914",
            "telephone_number": "920-731-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LYNNDALE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143011",
            "telephone_number": "920-731-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZINSKY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breath of Life Chiropractic Wellness Center (Breath of Life Chiropractic)
• Nancy Ann Breger, PT
• Emily Breister, LPC-IT
• Kristen Ann Brenner, RD, CD
• Brad Kenneth Brezinski, BCBA
• Amarra Bricco
• Jillene A Bricco, OTR
• Morgan Brice
• Nicholas James Brice, PA
• Jack L Brickner, DDS

• Dentist in Appleton, WI
• Providers in Appleton, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.