Brynn Whalen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013646A Issued in IN

Practice address

2907 Kentucky Ave
Indianapolis, IN 46221-2103

Phone

(317) 680-8468

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urgent Dental Center Kokomo LLC

  • Dental Clinic/Center
  • Kokomo, IN
  • NPI 1902692312
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1285201228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 E MORRIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031830",
            "telephone_number": "317-809-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212103",
            "telephone_number": "317-680-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "BRYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013646A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Wetzel, MSW
• Elizabeth Anne Wetzel, M.D.
• Sara Elizabeth Wetzel
• Camille Victoria Weyer
• Joshua James Weyer
• Nina Ann Whalen, NP
• Robert Leo Whalen
• Amber N Whaley, LPN
• Jill Lynne Whaley
• Mary Elizabeth Whaley

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.