Active NPI
Daniel Brinegar, DMD
- Dentist
- Jeffersonville, IN
National Provider Identifier
1376769802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010574A
- Practice address
- 409 W 6TH St
Jeffersonville, IN 47130-3507 - Phone
- (812) 288-4691
- Fax
- (812) 288-7178
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010574A | IN | Primary |
Addresses
Primary practice location
409 W 6TH St
Jeffersonville, IN 47130-3507
Mailing address
409 Sixth Street
Jeffersonville, IN 47130
Phone (812) 288-4691
Other practice location 1
800 Highlander Point Dr
Suite 210
Floyds Knobs, IN 47119-9465
Phone (812) 923-8871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010574A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colondds P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Jeffersonville, IN
- NPI 1760721153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376769802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 SIXTH STREET",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "47130",
"telephone_number": "812-288-4691",
"fax_number": "812-288-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W 6TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303507",
"telephone_number": "812-288-4691",
"fax_number": "812-288-7178"
}
],
"practiceLocations": [
{
"address_1": "800 Highlander Point Dr",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Floyds Knobs",
"state": "IN",
"postal_code": "471199465",
"country_code": "US",
"telephone_number": "812-923-8871",
"fax_number": "812-923-8872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINEGAR",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010574A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.