CMS-1500 Box 24J / 33a • NPI
1093916728
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
124Q00000X
Licensed & Credentialed Dental Hygienist
Box 32 Service Location & ZIP+4
2 RUBIN DR, RUSHVILLE, NY, 14544-9681
✓ 9-Digit EDI 837 ZIP+4 (14544-9681)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093916728 (LINDA M BRENNESSEL, rdh) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093916728 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LINDA M BRENNESSEL, rdh |
| Plain-English Specialty | Licensed & Credentialed Dental Hygienist NUCC Code: 124Q00000X (Dental Hygienist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2 RUBIN DR, RUSHVILLE, NY, 14544-9681 |
| Practice Telephone / Fax | Tel: (585) 554-4825 | Fax: (585) 554-4402 |
| Administrative Mailing Address | 765 COUNTY ROAD 26, PHELPS, NY, 14532-9740 |
| Enumeration & Last Sync | Enumerated: 2007-05-30 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (124Q00000X)
What Does Taxonomy Code 124Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 124Q00000X translates to:
"Licensed & Credentialed Dental Hygienist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LINDA M BRENNESSEL, rdh)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
124Q00000X — Dental HygienistPlain English: Licensed & Credentialed Dental Hygienist | State: NY | License: 017101-1 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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