Individual provider Active NPI

Nona Ilene Breeland, DDS MS

  • Endodontics
  • Chapel Hill, NC
National Provider Identifier
1174618128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5658 Issued in NC
Practice address
1506 E Franklin St
204
Chapel Hill, NC 27514-2825
Phone
(919) 967-1776
Fax
(919) 967-1990
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5658 NC Primary

Addresses

Primary practice location

1506 E Franklin St
204
Chapel Hill, NC 27514-2825

Mailing address

1506 E Franklin St
204
Chapel Hill, NC 27514-2825
Phone (919) 967-1776

Other identifiers 3

IdentifierTypeStateIssuer
570343OtherNCUNITED CONCORDIA
7991086MedicaidNC
91086OtherNCBLUE CROSS BLUE SHIELD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5658NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174618128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E FRANKLIN ST",
            "address_2": "204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142825",
            "telephone_number": "919-967-1776",
            "fax_number": "919-967-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E FRANKLIN ST",
            "address_2": "204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142825",
            "telephone_number": "919-967-1776",
            "fax_number": "919-967-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREELAND",
        "first_name": "NONA",
        "middle_name": "ILENE",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "570343",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7991086",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "91086",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.