James Michael Brennan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19779 Issued in TX

Practice address

301 W Northside Dr
Fort Worth, TX 76164-9123

Phone

(817) 624-1125

Fax

(817) 624-1126

NPI assigned

Oct 30, 2007

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1609055284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W NORTHSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761649123",
            "telephone_number": "817-624-1125",
            "fax_number": "817-624-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W NORTHSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761649123",
            "telephone_number": "817-624-1125",
            "fax_number": "817-624-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Lynn Breit, LVN
• Heather Denise Breiter
• Brennan Benson DDS
• Aubrey K Brennan, RBT
• Emily Brennan, PA
• Mary C Brennan, MD
• Rachel Michelle Brennan, DO
• Tyler Brenneman, MD
• Dalton Scott Brenner, DO
• John F. Brenner, D.O.

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.