Individual provider Active NPI

Daniel Brinegar, DMD

  • Dentist
  • Jeffersonville, IN
National Provider Identifier
1376769802
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010574A Issued in IN
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12010574AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Colondds P.C. Dentist PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.