LYNN M BRENEMAN-WISONG DDS
NPI 1497815948
Dentist - General Practice in Davenport, IA

Q: What is Lynn Breneman-wisong's NPI number?

The NPI number for Lynn Breneman-wisong is 1497815948. It was assigned to this individual provider in the NPPES registry on December 12, 2006. The provider is also known as Lynn M Breneman Dds.

Q: What is Lynn Breneman-wisong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 12, 2006PECOS Enrolled

125 SCOTT ST, DAVENPORT, IA 52801(563) 336-3221(563) 336-3229 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lynn M Breneman-wisong Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNN M BRENEMAN-WISONG DDS (NPI 1497815948) is an individual general practice provider in Davenport, Iowa, licensed in Iowa (08399) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497815948

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameLYNN M BRENEMAN-WISONGCredential: DDS

Location Address125 SCOTT STDavenport, IA 52801-1130

Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 336-3229

Phone(563) 336-3221

Fax(563) 336-3229

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateApril 29, 2013

✔ NPI 1497815948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · 08399

Definition

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.

125 SCOTT ST, Davenport, IA 52801

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Other Names 1

Former Name (1)Lynn M Breneman Dds

Other Identifiers 6

Other1875119IA · United Concordia

Medicaid9183715IL

Other08399IA · Ia Delta Dental

Other08399IA · Private Insurances

Other22006IA · Ia Blue Dental

Medicaid0080200IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynn M Breneman-wisong Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLIE RESNICK DDS

Dentist (General Practice)