Jessica Shedlock Brunnett, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14096 Issued in MD

Practice address

8600 La Salle Rd
Oxford Building Suite 611
Towson, MD 21286-2001

Phone

(410) 823-5010

Fax

(410) 823-5557

NPI assigned

Oct 31, 2008

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 MD

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1225281447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 LA SALLE RD",
            "address_2": "OXFORD BUILDING SUITE 611",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862001",
            "telephone_number": "410-823-5010",
            "fax_number": "410-823-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LA SALLE RD",
            "address_2": "OXFORD BUILDING SUITE 611",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862001",
            "telephone_number": "410-823-5010",
            "fax_number": "410-823-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNETT",
        "first_name": "JESSICA",
        "middle_name": "SHEDLOCK",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Eve Brownley, PA-C
• Zenaida Bruce-Bengson, M.D.
• Nicole Christine Brummer, D.D.S., M.S.
• Jeffrey Keenan Brunell, M.S.W., LGSW
• Julianna Margaret Brunn, LMSW
• Michelle Bruno
• Emma Wehrman Brusio
• Elisabeth Bryant, PT
• Sarah Bryant
• BTCN, LLC (Dulaney Valley Healthmart Pharmacy)

• Dentist in Towson, MD
• Providers in Towson, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.