Wendy Marie Breitzman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

52833 Issued in CA

Practice address

7369 Day Creek Blvd Ste F-103
Rancho Cucamonga, CA 91739-8020

Phone

(909) 646-7902

Fax

(909) 646-7903

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ghazal and Hsieh Dental Corporation

  dba Winery Estate Dental Group

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1629173547
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104992155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 CANDLEWOOD ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301232",
            "telephone_number": "909-476-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 DAY CREEK BLVD STE F-103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398020",
            "telephone_number": "909-646-7902",
            "fax_number": "909-646-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITZMAN",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Brammer
• Courtney Brandon
• Candy Bravo
• Malayna Bray
• Rakeshia J Breaux, LMFT
• Brenton Hospice Inc.
• Elysia Bressler, PHARMD
• Jessica Raquel Brewer
• Brianne Nicole Bridgeland, ARNP
• Jennica Bridges

• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.