Brittany Ann Rezin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61379 Issued in KS

Practice address

4301 State Ave BLDG a
Kansas City, KS 66102-3719

Phone

(913) 287-7977

Fax

(913) 273-2502

NPI assigned

Jun 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• 47TH Street Dental Center, LLC

  dba KC Dental

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1396116117
  NPD (past)
• North Carriage Dental PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1881280410
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1790279636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CHURCH ST STE 2210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192204",
            "telephone_number": "615-972-5871",
            "fax_number": "631-857-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 STATE AVE BLDG A",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023719",
            "telephone_number": "913-287-7977",
            "fax_number": "913-273-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZIN",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "61379",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula Reusch, MD
• Jonathan de Jesus Reyes Rivera, MD
• Diana Nataly Reyes, APRN
• Robert T. Reynders, D.O.
• Chase Gaston Reynolds
• Jeehyun Rha, M.D.
• Ashley Rhodes, PHD
• Martin Rhodes, MD
• Courtney S Rhudy, M.D.
• Tony Rianprakaisang, M.D.

• General Practice Dentistry in Kansas City, KS
• Providers in Kansas City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.