Organization Active NPI

Breeze Dental E. 5TH, PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1023815586
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BREEZE DENTAL E. 5TH, PLLC
Practice address
1300 E 5TH St Ste C
Austin, TX 78702-3800
Phone
(512) 535-3888
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Candice M Herrera
Title
VP Operations
Phone
(512) 535-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1300 E 5TH St Ste C
Austin, TX 78702-3800

Mailing address

1300 E 5TH St Ste C
Austin, TX 78702-3800
Phone (512) 535-3888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1023815586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 5TH ST STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023800",
            "telephone_number": "512-535-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 5TH ST STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023800",
            "telephone_number": "512-535-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE DENTAL E. 5TH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "512-535-3888"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.