Brent J. Porter, D.D.S., M.S., a P.D.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39322 Issued in CA

Legal business name

BRENT J. PORTER, D.D.S., M.S., A P.D.C.

Practice address

550 Water St
Suite D Number 1
Santa Cruz, CA 95060-4124

Phone

(831) 459-9802

Fax

(831) 459-8234

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brent Joseph Porter, D.D.S., M.S.NPI 1134331887

Title

President-Dentist

Phone

(831) 459-9802

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brent Joseph Porter, D.D.S., M.S.

  • General Practice Dentistry
  • Santa Cruz, CA
  • NPI 1134331887
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053523647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950010580",
            "telephone_number": "831-459-9802",
            "fax_number": "831-459-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST",
            "address_2": "SUITE D NUMBER 1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604124",
            "telephone_number": "831-459-9802",
            "fax_number": "831-459-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT J. PORTER, D.D.S., M.S., A P.D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT-DENTIST",
        "authorized_official_telephone_number": "831-459-9802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39322",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "39322",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "39322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B39322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Bregman
• Andrea Berkemeier Brelje, MD
• Kristie Marie Brenda
• Catherine Brennan, D.D.S.
• Elizabeth Brennan, M.D.
• Bryn Brentnall
• Carly Rose Bretl
• Elisa R Breton, MD
• Rebecca Marie Breton, MD
• David Charles Harcourt Brewster

• General Practice Dentistry in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.