Individual provider Active NPI

Brendan Chetty, DMD

  • Dentist
  • Bethesda, MD
National Provider Identifier
1073305389
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14223353-9926 Issued in UT
Practice address
8930 Brown Drive, BLDG 9, 2ND Floor, Room 2515
Bethesda, MD 20889-5629
Phone
(301) 295-4341
NPI assigned
May 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14223353-9926 UT Primary

Addresses

Primary practice location

8930 Brown Drive, BLDG 9, 2ND Floor, Room 2515
Bethesda, MD 20889-5629

Mailing address

8930 Brown Drive, BLDG 9, 2ND Floor, Room 2515
Bethesda, MD 20889-5629
Phone (301) 295-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14223353-9926UTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1073305389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 BROWN DRIVE, BLDG 9, 2ND FLOOR, ROOM 2515",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895629",
            "telephone_number": "301-295-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 BROWN DRIVE, BLDG 9, 2ND FLOOR, ROOM 2515",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895629",
            "telephone_number": "301-295-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETTY",
        "first_name": "BRENDAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "14223353-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.