Hanna Brody, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

104566 Issued in CA

Practice address

2200 Larkspur Landing Cir
Larkspur, CA 94939-1821

Phone

(415) 461-5280

NPI assigned

Dec 10, 2019

Last updated

Aug 31, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Credentials

Master of Science

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1144867052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE RM D3015",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LARKSPUR LANDING CIR",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391821",
            "telephone_number": "415-461-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104566",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "104566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "104566",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheri Brendel, RN
• Richard William Brenner, MD
• Virginia Brenner, M.S.
• Timothy George Bricca, D.D.S.
• Anjuli Maya Brighton, MD
• Conor Brown, PA-C
• Shannon Browning, N.P.
• By the Bay Health
• California Orthopedics & Spine Inc
• California Orthopedics & Spine Inc

• Periodontics in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.