Breen Family Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BREEN FAMILY DENTISTRY, PLLC

Practice address

2460 Burton St SE Ste 201
Grand Rapids, MI 49546-4800

Phone

(616) 454-9091

Fax

(616) 454-1159

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Zachary Breen, DDSNPI 1619424678

Title

Owner

Phone

(616) 454-9091

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Zachary Breen, DDS

  • Dentist
  • Great Lakes, IL
  • NPI 1619424678
  NPD Authorized official

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1043978299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 BURTON ST SE STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464800",
            "telephone_number": "616-454-9091",
            "fax_number": "616-454-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 BURTON ST SE STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464800",
            "telephone_number": "616-454-9091",
            "fax_number": "616-454-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEN FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-454-9091",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "breenfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "breenfamilydentistry.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2460 Burton St SE Ste 201",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495464800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breast Health & Wellness Center PC
• Kristina Brechting
• Laura Brechting, PA-C, RD
• Sara Mary Brechting, PA-C
• Christopher Michael Brede
• Randy James Breen, D.D.S.
• Abigail Breese, NP
• William R Breese, PA
• Carley Brehm
• Naomi Breiler, M.ED, BCBA

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, 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 Dec 6, 2021; 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.