Individual provider Active NPI

Dennis Richard Brenkert, DDS,MS

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1326255365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
332 Issued in CO
Practice address
2001 S Shields St
BLDG a , Suite 100
Fort Collins, CO 80526-1827
Phone
(970) 484-0250
Fax
(970) 482-4980
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 332 CO Primary

Addresses

Primary practice location

2001 S Shields St
BLDG a , Suite 100
Fort Collins, CO 80526-1827

Mailing address

721 Dartmouth TRL
Fort Collins, CO 80525-1522
Phone (970) 482-4980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
332COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
D Brenkert Ortho LLC Past Accepting new patients
Brenkert Craniofacial Professional LLC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326255365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 DARTMOUTH TRL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251522",
            "telephone_number": "970-482-4980",
            "fax_number": "970-482-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG A , SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-484-0250",
            "fax_number": "970-482-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENKERT",
        "first_name": "DENNIS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.