Brennan Orthodontics, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN02587 Issued in RI

Legal business name

BRENNAN ORTHODONTICS, INC.

Practice address

1434 Warwick Ave
Warwick, RI 02888-5026

Phone

(401) 463-6350

Fax

(401) 463-5130

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Brennan, DMD

Title

President

Phone

(401) 463-6350

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew M Brennan, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Warwick, RI
  • NPI 1538348321
  NPD (past)
• Scott Harsfield, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Warwick, RI
  • NPI 1073727095
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336208511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885026",
            "telephone_number": "401-463-6350",
            "fax_number": "401-463-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885026",
            "telephone_number": "401-463-6350",
            "fax_number": "401-463-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNAN ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-463-6350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "RI",
            "license": "DEN02587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "139-741",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MA",
            "identifier": "RG0069",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8037-4",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WB01101",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "41-00012",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Will Vladimir Breault
• Keith R Brecher, MD
• Andrea Marie Breen, LMHC-A
• Fatima Brees
• Melissa Breese, MS
• Christine Brennan
• Kristin E. Brennan, O.D.
• Matthew M Brennan, D.M.D
• Tracey Lynn Brennan, DMD
• William F Brennan Jr., M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Warwick, RI
• Providers in Warwick, RI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.