Shannon Renee Brewer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6565 Issued in NV

Practice address

525 W Washington St
Carson City, NV 89703-3804

Phone

(775) 883-4247

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1588729172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W WASHINGTON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033804",
            "telephone_number": "775-883-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W WASHINGTON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033804",
            "telephone_number": "775-883-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5640",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200012920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William P Bray Jr., DC
• James Thomas Breeden, M.D.
• Krista Brennan
• Sherry Brennan, CPC-I
• Alexis Brennecke
• Ramona Rose Bringman
• Melissa Brinks, LCSW
• Leeanna Bristol, APN
• Kristina Britt
• Michael E Britting, DMD

• General Practice Dentistry in Carson City, NV
• Providers in Carson City, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.