Jordan L Brenner, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

205093 Issued in CO

Practice address

1169 Hilltop Pkwy Unit 203
Steamboat Springs, CO 80487-2523

Phone

(970) 871-0033

Fax

(970) 871-0034

NPI assigned

Sep 4, 2020

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1992319107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 HILLTOP PKWY UNIT 203",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804872523",
            "telephone_number": "970-871-0033",
            "fax_number": "970-871-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 HILLTOP PKWY UNIT 203",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804872523",
            "telephone_number": "970-871-0033",
            "fax_number": "970-871-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JORDAN",
        "middle_name": "L",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1556",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "205093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Elsa Bower, RN
• Mary Langer Bowman, MD
• Steven Thomas Boyton, MS, ATC, OTC
• Sarah Braat, RMT
• Braver Therapy and Life Development LLC
• Kegan J Brenner, D.D.S.
• Brian Siegel, MD, PC
• Bridget's Surgical First Assist
• Jodi Bringuel, PT, CLT-LANA
• Harrison Mark Britt, PHARMD

• General Practice Dentistry in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.