Individual provider Active NPI

Brigid Walsh Trent, DDS

  • Pediatric Dentistry
  • Brentwood, CA
National Provider Identifier
1417126913
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
55345 Issued in CA
Practice address
2201 Balfour Rd Ste a
Brentwood, CA 94513-4927
Phone
(925) 308-7608
Fax
(925) 308-7542
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 55345 CA Primary
General Practice Dentistry 1223G0001X 019.027082 IL

Addresses

Primary practice location

2201 Balfour Rd Ste a
Brentwood, CA 94513-4927

Mailing address

2201 Balfour Rd Ste a
Brentwood, CA 94513-4927
Phone (925) 308-7608

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
019.027082ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation CurrentSince Mar 12, 2023 Accepting new patients

Locations

2201 Balfour Rd
Ste A
Brentwood, CA 94513
Phone (925) 308-7608

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1417126913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134927",
            "telephone_number": "925-308-7608",
            "fax_number": "925-308-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134927",
            "telephone_number": "925-308-7608",
            "fax_number": "925-308-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "BRIGID",
        "middle_name": "WALSH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "55345",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.