NPIMap

Organization Active NPI

Brenkert Craniofacial Professional LLC

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1871700724
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
332 Issued in CO
Legal business name
BRENKERT CRANIOFACIAL PROFESSIONAL LLC
Practice address
2001 S Shields St
BLDG a #100
Fort Collins, CO 80526-1827
Phone
(970) 484-0250
Fax
(970) 482-4980
NPI assigned
May 17, 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
Dennis Richard BrenkertNPI 1326255365
Title
Member
Phone
(970) 482-4980

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 332 CO Primary

Addresses

Primary practice location

2001 S Shields St
BLDG a #100
Fort Collins, CO 80526-1827

Mailing address

721 Dartmouth TRL
Fort Collins, CO 80525-1522
Phone (970) 482-4980

National Provider Directory

National Provider Directory

Locations

2001 S Shields St
Bldg A
Fort Collins, CO 80526
Phone (970) 797-0446

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871700724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 DARTMOUTH TRL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251522",
            "telephone_number": "970-482-4980",
            "fax_number": "970-482-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG A #100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-484-0250",
            "fax_number": "970-482-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENKERT CRANIOFACIAL PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENKERT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "970-482-4980"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

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.