Brielle Mary Renz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2179 Issued in ND

Practice address

1839 E Capitol Ave
Bismarck, ND 58501-5616

Phone

(701) 255-4850

Fax

(701) 255-4852

NPI assigned

Jul 25, 2013

Last updated

Jul 25, 2013By the provider in NPPES

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

Locations

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

• Kaibab PC

  dba All Smiles Dental

  • General Practice Dentistry
  • Bismarck, ND
  • NPI 1578313201
  NPD Authorized official
• Heringer Dentistry LLC

  • General Practice Dentistry
  • Bismarck, ND
  • NPI 1891872545
  Authorized official Same address or phone

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1316389794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 E CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015616",
            "telephone_number": "701-255-4850",
            "fax_number": "701-255-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 E CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015616",
            "telephone_number": "701-255-4850",
            "fax_number": "701-255-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZ",
        "first_name": "BRIELLE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas John Renton, M.D.
• Michael Renton, CM
• Stanley M Renton, MD
• Renu Longevity PC (Moos Family Chiropractic)
• Brittany Kaye Renz-Wood
• Carmen Rae Repnow, OT
• Ariana Retuta
• Jacob P Retzer, PT, DPT
• Tawniel Retzlaff
• Revolution Speech Therapy

• General Practice Dentistry in Bismarck, ND
• Providers in Bismarck, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.