Breathe and Smile Studio LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BREATHE AND SMILE STUDIO LLC

Practice address

2046 Dorchester CT
Goshen, IN 46526-6534

Phone

(574) 533-2469

Fax

(574) 537-1791

NPI assigned

Dec 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Gabrielle M. Johnson, DDSNPI 1871907725

Title

Owner Dentist

Phone

(574) 533-2469

Specialties & licenses 1

Addresses

Other names 1

• Gabrielle M. Johnson DDS Doing business as

Locations

Practitioners 2

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

• Gabrielle M Johnson, D.D.S.

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1871907725
  NPD Authorized official
• Robert Edward Barker, DDS

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1720083587
  NPD (past)

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1114735669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 DORCHESTER CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266534",
            "telephone_number": "574-533-2469",
            "fax_number": "574-537-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 DORCHESTER CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266534",
            "telephone_number": "574-533-2469",
            "fax_number": "574-537-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE AND SMILE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "574-533-2469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabrielle M. Johnson DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn E Bowman, MSW, LCSW
• Ingrid K. Bowser, NP
• Bryan Boyer, M.D.
• Katelyn Mariann Boyer, OTR
• Marlon O'Neil Brathwaite, M.D.
• Terri J Brenneman, PH.D.
• Brianna Yoder Counseling PC
• Deena R Brissett, FNP
• Anne Marie Brock, MA, CCC-SLP
• Anne Brookhyser, CNM

• General Practice Dentistry in Goshen, IN
• Providers in Goshen, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.