Brent J. Varshawsky, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

34923 Issued in CA

Legal business name

BRENT J. VARSHAWSKY, D.M.D.

Practice address

1901 Watt Ave
2
Sacramento, CA 95825-2152

Phone

(916) 483-5677

Fax

(916) 483-0488

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brent J Varshawsky, D.M.D.NPI 1548768302

Title

Dentistowner

Phone

99164835677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brent J. Varshawsky, D.M.D.

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1548768302
  NPD (past) Authorized official

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1700139375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WATT AVE",
            "address_2": "2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252152",
            "telephone_number": "916-483-5677",
            "fax_number": "916-483-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WATT AVE",
            "address_2": "2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252152",
            "telephone_number": "916-483-5677",
            "fax_number": "916-483-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT J. VARSHAWSKY, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "VARSHAWSKY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTISTOWNER",
        "authorized_official_telephone_number": "99164835677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Brennan, M.D.
• Rachel Brennan
• John Scott Brenner, CRNA
• Michelle Chris Dee Brenner
• Kylie Brennfleck
• Elliott Brent
• Ina L Brent
• Marlene Terry Brent, LIC. CLINICAL SOCIAL
• Theodore WC Brenton, NP
• Ginna Paola Brents, SLP

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.