Active NPI
Jennifer Brehove, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chula Vista, CA
National Provider Identifier
1215591839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS105550
- Practice address
- 2226 Otay Lakes Rd Ste Aandb
Chula Vista, CA 91915-1010 - Phone
- (619) 336-8478
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D11535 | OR | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS105550 | CA | Primary |
Addresses
Primary practice location
2226 Otay Lakes Rd Ste Aandb
Chula Vista, CA 91915-1010
Mailing address
1578 Calle Las Moras
Vista, CA 92084-4165
Phone (760) 420-2441
Other practice location 1
155 Hickory St NW Ste B
Albany, OR 97321-1724
Phone (541) 967-8541
Other practice location 2
1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
Phone (414) 288-6790
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS105550 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| D11535 | OR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1215591839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 CALLE LAS MORAS",
"city": "VISTA",
"state": "CA",
"postal_code": "920844165",
"telephone_number": "760-420-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 OTAY LAKES RD STE AANDB",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151010",
"telephone_number": "619-336-8478"
}
],
"practiceLocations": [
{
"address_1": "155 Hickory St NW Ste B",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973211724",
"country_code": "US",
"telephone_number": "541-967-8541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532332186",
"country_code": "US",
"telephone_number": "414-288-6790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREHOVE",
"first_name": "JENNIFER",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OR",
"license": "D11535",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS105550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.