Randy James Breen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014055 Issued in MI

Practice address

515 Lakeside Dr SE
#208
Grand Rapids, MI 49506-2931

Phone

(616) 454-9091

Fax

(616) 454-1159

NPI assigned

Jul 17, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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.

• Randy J Breen DDS PLLC

  • Dental Clinic/Center
  • Grand Rapids, MI
  • NPI 1235739533
  NPD Authorized official

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003815655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 ROLLING MEADOW DR NE",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493069332",
            "telephone_number": "616-863-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 LAKESIDE DR SE",
            "address_2": "#208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062931",
            "telephone_number": "616-454-9091",
            "fax_number": "616-454-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "RANDY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Brechting
• Laura Brechting, PA-C, RD
• Sara Mary Brechting, PA-C
• Christopher Michael Brede
• Breen Family Dentistry, PLLC
• Abigail Breese, NP
• William R Breese, PA
• Carley Brehm
• Naomi Breiler, M.ED, BCBA
• Kristen D. Breimayer, MOT, OTR/L

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.