Jody Lee Brennan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00010009 Issued in WA

Practice address

3107 W McGraw St
Seattle, WA 98199

Phone

(206) 282-2416

Fax

(206) 282-0825

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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 WA

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

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154400356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 W MCGRAW ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98199",
            "telephone_number": "206-282-2416",
            "fax_number": "206-282-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W MCGRAW ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98199",
            "telephone_number": "206-282-2416",
            "fax_number": "206-282-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JODY",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "00010009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Brener
• Quinn Hendrick Brenfleck, MA
• Asher Brennan
• Cynthia Brennan, PHARMD, MHA
• Evan Brennan
• Kelly Anne Brennan, MSN, ARNP
• Kelsey Brennan
• Mary Kathleen Brennan, MSW, DSW
• Megan Brennan, MS, CCC-SLP
• Nancy Lynn Brennan, PHARMD

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.