Active NPI
Bryan Douglas Brenner PLLC
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1699553636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BRYAN DOUGLAS BRENNER PLLC
- Doing business as
- Brenner Dental Care
- Practice address
- 215 1St Ave W Suite #100
Seattle, WA 98119 - Phone
- (206) 258-4965
- Fax
- (206) 258-4966
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan Douglas Brenner, DDS
- Title
- Dentist
- Phone
- (206) 258-4965
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
215 1St Ave W Suite #100
Seattle, WA 98119
Mailing address
215 1St Ave W Suite #100
Seattle, WA 98119
Phone (206) 258-4965
Other names 1
- Brenner Dental Care
National Provider Directory
National Provider DirectoryPractitioners & 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": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695168000000",
"number": "1699553636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 1ST AVE W SUITE #100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98119",
"telephone_number": "206-258-4965",
"fax_number": "206-258-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 1ST AVE W SUITE #100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98119",
"telephone_number": "206-258-4965",
"fax_number": "206-258-4966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN DOUGLAS BRENNER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"status": "A",
"authorized_official_last_name": "BRENNER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "206-258-4965",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brenner Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.