Brandon Rensch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12077 Issued in NC

Practice address

415 Vick Ave
Raleigh, NC 27612-5025

Phone

(919) 787-0355

NPI assigned

Nov 6, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brandon D. Rensch, D.D.S., PLLC

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1699438788
  NPD Authorized official
• Christine D. Laster, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1295145209
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1609477405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 VICK AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125025",
            "telephone_number": "605-929-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 VICK AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125025",
            "telephone_number": "919-787-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSCH",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renewu
• William Stanley Renkas
• Robin Seidel Rennells, CD(DONA)
• Allethaire Medlicott Renninger, CRNA
• Renovo Natural Health LLC
• Kayleigh Nicole Repar
• Karen Resendiz
• Residential Adolescent Adult Seervices & Training, Inc.
• Residential Adolescent Adult Services and Inc.
• Residential Adolescent Adult Services and Training Inc.

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.