Brennan Ree Bahnson, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D11451 Issued in OR

Practice address

127 NE Eads St
Newport, OR 97365-2840

Phone

(541) 265-9466

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Brent May Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newport, OR
  • NPI 1750698809

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1831752880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BARRE CIR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133243",
            "telephone_number": "307-299-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 NE EADS ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973652840",
            "telephone_number": "541-265-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNSON",
        "first_name": "BRENNAN",
        "middle_name": "REE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1858235",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D11451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF DENTISTRY",
            "identifier": "D11451",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rubi Arizmendi
• John L. Arnold, L.C.S.W.
• Jessica Aros
• Daniel L Aspiri, M. ED
• Assisted Living Concepts Inc
• Hannah Rasma Balduff, PA-C
• Barbara J Mantha
• Robert Charles Barkus, PA-C
• Zachary Barrett
• Joan Barry-Gertz

• All providers in Newport, OR
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.