Tracey Heiken Bresler, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS038634 Issued in PA

Practice address

6801 Ridge Ave
Philadelphia, PA 19128-2446

Phone

(215) 483-6633

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 and National Provider Directory roles.

• Bresler Richmond Dental Associates

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1225183072
  NPD (past)
• David a. Bresler DDS PC

  • Pediatric Dentistry
  • Philadelphia, PA
  • NPI 1134251580
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1225299910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 PARADISE DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022340",
            "telephone_number": "305-725-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282446",
            "telephone_number": "215-483-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLER",
        "first_name": "TRACEY",
        "middle_name": "HEIKEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038634",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102603876",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bresler Richmond Dental Associates
• Jason Marshall Bresler, D.M.D.
• Jill Julianna Bresler, DMD
• Joshua Aaron Bresler, DMD
• Rachel Bresler, DMD
• Sean Joseph Breslin, M.D.
• Tyler Breslin, MD
• Wade Breslin
• Kathleen Marie Breslinfoulkrod, COTA/L, B.S.
• Jordan Breslow

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.