Active NPI
Reece Breuckman, DDS
- Dentist
- San Francisco, CA
National Provider Identifier
1083550651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111929
- Practice address
- 490 Post St Ste 1205
San Francisco, CA 94102-1303 - Phone
- (415) 200-1283
- NPI assigned
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111929 | CA | Primary |
Addresses
Primary practice location
490 Post St Ste 1205
San Francisco, CA 94102-1303
Mailing address
3810 Sacramento St Apt 201
San Francisco, CA 94118-1645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111929 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1083550651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 SACRAMENTO ST APT 201",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 POST ST STE 1205",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021303",
"telephone_number": "415-200-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREUCKMAN",
"first_name": "REECE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.