Ryan James Brennan, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2016001209 Issued in MO

Practice address

5050 Main St
Apt # 801
Kansas City, MO 64112-2782

Phone

(314) 591-4376

NPI assigned

Feb 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1942668033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MAIN ST",
            "address_2": "APT # 801",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122782",
            "telephone_number": "314-591-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 MAIN ST",
            "address_2": "APT # 801",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122782",
            "telephone_number": "314-591-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2016001209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brengle, LPN
• Halie Breninger, CPNP-AC
• Elizabeth Ann Brennan, PT, DPT
• Harleigh Jess Brennan
• Ryan Brennan, LCSW
• Amber L Brenneman, FNP-C
• Jeffrey F. Brent, M.D.
• Samuel Timothy Brescia, M.D.
• Katie Breshears, PNP-PC
• Tyler Colby Breshears, LPC

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.