Active NPI
Ronald C. Brenner, D.D.S.
- Dentist
- New Boston, NH
National Provider Identifier
1609890649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1690
- Practice address
- 52 High St
New Boston, NH 03070-4027 - Phone
- (603) 487-2106
- Fax
- (603) 487-2337
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1690 | NH | Primary |
Addresses
Primary practice location
52 High St
New Boston, NH 03070-4027
Mailing address
52 High St
New Boston, NH 03070-4027
Phone (603) 487-2106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99002022 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1690 | NH | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- New Boston, NH
- NPI 1417096140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609890649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 HIGH ST",
"city": "NEW BOSTON",
"state": "NH",
"postal_code": "030704027",
"telephone_number": "603-487-2106",
"fax_number": "603-487-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 HIGH ST",
"city": "NEW BOSTON",
"state": "NH",
"postal_code": "030704027",
"telephone_number": "603-487-2106",
"fax_number": "603-487-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "RONALD",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "1690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99002022",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Boston, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.