John a. Breza DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOHN A. BREZA DDS PC

Practice address

15290 E 14 Mile Rd
Fraser, MI 48026-2029

Phone

(586) 294-4990

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. John A. Breza, DDSNPI 1033116207

Title

President

Phone

(586) 506-4435

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John A. Breza, D.D.S.

  • General Practice Dentistry
  • Fraser, MI
  • NPI 1033116207
  NPD Authorized official

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1043943566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15290 E 14 MILE RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262029",
            "telephone_number": "586-294-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15290 E 14 MILE RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262029",
            "telephone_number": "586-294-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. BREZA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "BREZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-506-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPA",
            "identifier": "1033117207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behram Irani, MD
• MD Remaul Islam
• Ryan M Jaber, M.D.
• Shelby Jackson
• Patricia Ann Janas, BCBA
• Pamela Anne Jostock, M.D.
• Edward Kakish, DO
• Lindsay L Kalinowski, PA-C
• Nichole Kardas, LLP
• Simon Katrib

• Dental Clinic/Center in Fraser, MI
• Providers in Fraser, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.