Kayla Allen Breyer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11886 Issued in OR

Practice address

1355 Edgewater St NW
Salem, OR 97304-4077

Phone

(503) 588-6960

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Dental Group, PC

  • General Practice Dentistry
  • Bend, OR
  • NPI 1972970671

  General Practice

  NPD
• Advantage Dental Oral Health Center of Oklahoma, P.C.

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1386412328

  Dentist

  NPD
• Crisdental Salem L.L.C.

  • General Practice Dentistry
  • Salem, OR
  • NPI 1760741078

  General Practice

  NPD (past)
• William J. Blaumer

  • Dentist
  • Salem, OR
  • NPI 1750526893
  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1093594863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63140 BRITTA ST STE D104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044077",
            "telephone_number": "503-588-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREYER",
        "first_name": "KAYLA",
        "middle_name": "ALLEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11886",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Brenner, RN
• Jeremy Breon
• Lisa Brestar
• Tamara Brester, MSC
• Earl Elmo Brewley Jr., M.D.
• Thomas W Breyer, PMHNP
• Alexander Brichuk
• Margarita Brichuk, FNP-C
• Kasey Brickey, AU.D.
• Lynne Renee Bridenhagen

• All providers in Salem, OR
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.