Chad Brettingen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12114 Issued in MN

Practice address

7373 France Ave S Ste 500
Edina, MN 55435-4551

Phone

(952) 831-2800

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Centennial Lakes Dental Group

  • Dentist
  • Edina, MN
  • NPI 1801982111
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386717049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 500",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354551",
            "telephone_number": "952-831-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 500",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354551",
            "telephone_number": "952-831-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETTINGEN",
        "first_name": "CHAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "12114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Jo Bren
• Brenda Becher Ingwalson (Body & Soul Therapy)
• Timothy Brenner, PT
• Jonathan Breslau, M.D.
• Brian H Breslaw, M.D.
• Peter A Bretzman, MD
• Christopher Breuer
• Dana Lucas Brewington, DPM
• Michele Marie Brezinski, M.D.
• Brian J. Kobienia, MD, PA

• Dentist in Edina, MN
• Providers in Edina, MN by specialty
• Dentist in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.