Savita Suryawanshi Brenner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5584-015 Issued in WI

Practice address

S63W13660 Janesville Rd
Muskego, WI 53150-2713

Phone

(414) 425-9393

Fax

(414) 425-7065

NPI assigned

Sep 18, 2008

Last updated

Sep 18, 2008By the provider in NPPES

Sex

Female

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 TX

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

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1508016130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S68W15071 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508385",
            "telephone_number": "414-475-9567",
            "fax_number": "414-475-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S63W13660 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531502713",
            "telephone_number": "414-425-9393",
            "fax_number": "414-425-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "SAVITA",
        "middle_name": "SURYAWANSHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5584-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen L Blonsky, MD
• Rachel Bohn, DDS
• Geno Bondioli, RPH
• Kristen M Boyd, PA
• Braincare, LLC (Global Neuro-Diagnostics)
• Debra Jean Brooks, LPN
• Eric J. Bruster, PSY.D.
• Bubon & Associates, Orthodontics, SC
• Nicole J. Budzien, DPT
• Shelley Carpenter, PT

• General Practice Dentistry in Muskego, WI
• Providers in Muskego, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.