Mary Rachel Brinker, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

56005 Issued in CA

Practice address

655 Redwood Hwy Frontage Rd Ste 110
Mill Valley, CA 94941-3035

Phone

(415) 389-9600

Fax

(415) 389-4999

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 18, 2025 through Oct 18, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Michael Seda DMD, Ms and Mary Rachel Brinker DMD

  • Periodontics
  • San Rafael, CA
  • NPI 1902072267
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1447439153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 110",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413035",
            "telephone_number": "415-389-9600",
            "fax_number": "415-389-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 110",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413035",
            "telephone_number": "415-389-9600",
            "fax_number": "415-389-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKER",
        "first_name": "MARY",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "56005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Brandsmeier, APNP
• Jody Vera Branham, C.N.M., M.S.N.
• Carolyn H Bray, PHD
• Lisa Christine Brent, N.D.
• Lawrence Brent Brilliant, M.D.
• Julie Brinkman
• Marti J Briscoe, PSY.D.
• Vivian Marie Broadway-Firmage, DDS
• Amie Brooke, LIC. AC.
• Thomas Brookshire, P.A.

• Periodontics in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.