Theresa Conena Brennan, RDH BS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH5588 Issued in MA

Practice address

200 Harrison Ave FL 2
Boston, MA 02111-1836

Phone

(617) 291-2217

NPI assigned

May 16, 2018

Last updated

May 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1063902906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WILLIAMS ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HARRISON AVE FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111836",
            "telephone_number": "617-291-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "THERESA",
        "middle_name": "CONENA",
        "credential": "RDH BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH5588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000011J",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Theresa Brennan, CPNP
• Michael Thomas Brennan, PHARMD
• Patricia Ann Brennan, RN
• Patrick Brennan, M.D., PH.D.
• Rachael Brennan
• Eduardo Brenner Muslera, MD
• Brenner Psychological Associates LLC
• Linda Brenner Semela, MD
• Gary Jay Brenner, MD PHD
• Laura N Brenner, M.D.

• Dental Hygienist in Boston, MA
• Providers in Boston, MA by specialty
• Dental Hygienist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.