DR. COREY J BRENNER (NPI# 1134106818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134106818 |
| Entity Type | Individual |
| Full Name | DR. COREY J BRENNER |
| Credential | DDS |
| Practice Address |
9000 Walnut St Rockford MN 55373-0236 |
| Mailing Address |
8900 Walnut St Box 236 Rockford MN 55373-0236 |
| Practice Telephone | 7634775794 |
| Mailing Telephone | 7634775794 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11525 | MN | Dental Providers |
| Street Address |
9000 WALNUT ST |
| City | ROCKFORD |
| State | MN |
| Zip Code | 55373-0236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915138 | Julie Rae Stoltman-kubes | Specialist | 9000 Walnut St, Rockford, MN 55373-4511 | 2014-09-19 |
| 1821423963 | Jeffrey John Zachman | Acupuncturist | 9000 Walnut St, Rockford, MN 55373-4511 | 2013-09-09 |
| 1689824898 | Corey J Brenner Dds Pllc | Clinic/Center | 9000 Walnut St, Box 236, Rockford, MN 55373-0236 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467785832 | Naomi Avis Yanta | Massage Therapist | 7948b Highway 55, Rockford, MN 55373 | 2009-09-16 |
| 1366699365 | Alliance Home Health Care, LLC | Home Health | 8973 Whisper Creek Trail, Greenfield, MN 55373 | 2008-08-20 |
| 1184797896 | Steve Karg | Chiropractor | 8060 Hwy 55, Rockford, MN 55373 | 2006-11-17 |
| 1912967084 | Ann I Fromell-theis | Dentist | 9000 Walnut Street, Rockford, MN 55373 | 2006-03-24 |
| 1598179939 | Lake Sarah Dental Pllc | Dentist | 7500 State Highway 55, Suite 200, Greenfield, MN 55373 | 2014-06-13 |
| 1790796159 | Rockford Chiropractic Corporation | Chiropractor | 9000 Walnut Street, Rockford, MN 55373 | 2006-08-11 |
| 1770651754 | Ind School Dist 883 | Local Education Agency (LEA) | 6051 Ash Street, Rockford, MN 55373-0009 | 2006-11-30 |
| 1558418236 | Buffie Chiropractic Clinic PC | Chiropractor | 8340 Bridge Street, Rockford, MN 55373-0207 | 2007-01-04 |
| 1154799427 | Darcie Hanna | Counselor | 4984 Riveroaks Road, Rockford, MN 55373-1100 | 2015-09-03 |
| 1578180089 | Sarah Prestegard | Physical Therapist | 6050 Main St Apt 101, Rockford, MN 55373-4537 | 2020-06-30 |
| Find all providers in zip 55373 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1295192144 | Woolery Dental P.C. | Dentist | 5301 E State St Ste 306, Rockford, IL 61108-2390 | 2016-01-23 |
| 1467849679 | Christopher Lee Greenwaldt | Dentist | 845 S Perryville Rd Unit 127, Rockford, IL 61108-4340 | 2015-04-26 |
| 1427463785 | Yong Woo Lee | Dentist | 7310 Walton St, Rockford, IL 61108-4614 | 2014-06-25 |
| 1750624110 | Austriaco Dental Associates LLC | Dentist | 7310 Walton St Ste A, Rockford, IL 61108-4614 | 2013-04-03 |
| 1609173749 | Kathryn Ashley Edgcomb | Dentist | 1376 Reid Farm Rd, Rockford, IL 61107-2679 | 2011-02-25 |
| 1629393962 | Affordable Dentistry Today | Dentist | 5819 E Riverside Blvd # 21, Rockford, IL 61114-4963 | 2010-03-30 |
| 1346563525 | Modern Dental of Rockford LLC | Dentist | 1321 Sandy Hollow Rd, Rockford, IL 61109-2120 | 2010-03-02 |
| 1063667079 | Wilson Dental, PC | Dentist | 610 E. Division, Rockford, MI 49341 | 2008-11-19 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.