Brennan Family & Cosmetic Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRENNAN FAMILY & COSMETIC DENTISTRY, PC

Doing business as

Knapp Dental Lodge

Practice address

3152 Peregrine Dr NE Ste 200
Grand Rapids, MI 49525-9723

Phone

(616) 447-3660

Fax

(616) 447-7660

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Thomas PareNPI 1881825933

Title

Doctor Owner

Phone

(616) 447-3660

Specialties & licenses 1

Addresses

Other names 1

• Knapp Dental Lodge Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Nelson Pare III, DMD

  • Dentist
  • Grand Rapids, MI
  • NPI 1881825933
  NPD (past) Authorized official
• Eugene Ro, DMD

  • Dentist
  • Grand Rapids, MI
  • NPI 1700452729
  NPD
• James B Brennan, D.D.S.

  • Dentist
  • Grand Rapids, MI
  • NPI 1619970522
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1174224265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 PEREGRINE DR NE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259723",
            "telephone_number": "616-447-3660",
            "fax_number": "616-447-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 PEREGRINE DR NE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259723",
            "telephone_number": "616-447-3660",
            "fax_number": "616-447-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNAN FAMILY & COSMETIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "PARE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "616-447-3660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knapp Dental Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traci Breitmeyer
• Nicholas R Breland
• Anteneah Grace Bremby, LLMSW
• Sarah Ruth Bremer, PA-C
• Natalie Brenders, MD
• Ashley Rose Brennan, OTR/L
• Ciara Brennan
• Daniel Richard Brennan, PA
• James B Brennan, D.D.S.
• Lizbeth Brenneman, MA, CCC-SLP

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.