Richard Brenner, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019020454 Issued in IL

Practice address

211 W Chicago Ave
Suite 110
Hinsdale, IL 60521-3355

Phone

(630) 323-0409

Fax

(630) 323-2795

NPI assigned

Dec 4, 2015

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Oct 30, 2015 through Oct 30, 2027

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.

• Richard J. Brenner, D.D.S., LTD.

  • General Practice Dentistry
  • Hinsdale, IL
  • NPI 1992969513
  NPD (past) Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1952776783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W CHICAGO AVE",
            "address_2": "SUITE 110",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213355",
            "telephone_number": "630-323-0409",
            "fax_number": "630-323-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W CHICAGO AVE",
            "address_2": "SUITE 110",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213355",
            "telephone_number": "630-323-0409",
            "fax_number": "630-323-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "RICHARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Boyd, M.D.
• Victoria Renee Bradford, DOCTORAL EXTERN
• Katherine Brand
• Daniel J Braun, DC
• Brenda Bravo-Mendez
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• Bright Beginnings With Meg Herr, PLLC
• Amanda Briones
• Benjamin Brito

• Dentist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.