Organization Active NPI

Brenna Hamrick-Stotts,D.D.S.,Ind.

  • Dentist
  • Redlands, CA
National Provider Identifier
1629283676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35264 Issued in CA
Legal business name
BRENNA HAMRICK-STOTTS,D.D.S.,IND.
Practice address
1150 Brookside Ave
Suite T
Redlands, CA 92373-6300
Phone
(909) 793-9711
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brenna L Hamrick-Stotts, D.D.S.NPI 1902924335
Title
President
Phone
(909) 793-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 35264 CA Primary

Addresses

Primary practice location

1150 Brookside Ave
Suite T
Redlands, CA 92373-6300

Mailing address

1150 Brookside Ave
Suite T
Redlands, CA 92373-6300
Phone (909) 793-9711

Other identifiers 1

IdentifierTypeStateIssuer
1902924335OtherCANPI TYPE 1

National Provider Directory

National Provider Directory

Locations

1150 Brookside Ave
Ste T
Redlands, CA 92373
Phone (909) 793-9711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629283676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BROOKSIDE AVE",
            "address_2": "SUITE T",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736300",
            "telephone_number": "909-793-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BROOKSIDE AVE",
            "address_2": "SUITE T",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736300",
            "telephone_number": "909-793-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNA HAMRICK-STOTTS,D.D.S.,IND.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMRICK-STOTTS",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-793-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1902924335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.