Breanna R Embree, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9504 Issued in AZ

Practice address

2824 N Power Rd Ste 108
Mesa, AZ 85215-1673

Phone

(480) 641-4567

NPI assigned

Jun 28, 2012

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 11, 2016 through Jan 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Embree DDS PLLC

  dba The Tooth Spa Arizona

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1083444210
  NPD Authorized official
• Chandler Dental Health, PLLC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1164571071
  NPD (past)
• Integrity First, Inc

  • Dentist
  • Mesa, AZ
  • NPI 1770734741
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1194089748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 N POWER RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151673",
            "telephone_number": "480-641-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 N POWER RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151673",
            "telephone_number": "480-641-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBREE",
        "first_name": "BREANNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvin Ho OD PC
• Patricia Elzner, NP
• Embrace Assisted Living LLC
• Embraceable Az LLC (Comfort Braces West Mesa)
• Embree DDS PLLC (The Tooth Spa Arizona)
• Embry Testing and Vaccine Services of Florida LLC (Embry Health)
• Embry Womens Health LLC
• Joellen Beard Embry, NP
• David Emenhiser, LISAC, CADAC
• Emerald Glen Memory Care Plus

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.