Terry L Drennan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11999 Issued in TX

Practice address

2501 Ridgmar PLZ
#102
Fort Worth, TX 76116-2689

Phone

(817) 732-5522

Fax

(817) 732-4991

NPI assigned

Jun 13, 2013

Sex

Male

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 TX

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

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.

• Drennan Family Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1396963062
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1295173086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 RIDGMAR PLZ",
            "address_2": "#102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162689",
            "telephone_number": "817-732-5522",
            "fax_number": "817-732-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RIDGMAR PLZ",
            "address_2": "#102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162689",
            "telephone_number": "817-732-5522",
            "fax_number": "817-732-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNAN",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dreamworks Eyecare
• Randy Derek Drechsel, MD
• Vera A Dreiling, LPC
• Drennan Family Dentistry
• Lyndon Dale Drennan, DDS
• Tera Marie Drew, RN
• Susan E Drez, M.D.
• Natasha Lindsay Driedger, LPC-A
• Emily Driscoll
• Allison Driskill, DPT

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.