Brazeal Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54954 Issued in CA

Legal business name

BRAZEAL DENTAL CORPORATION

Practice address

5948 Warner Ave
Huntington Beach, CA 92649-4660

Phone

(714) 846-1414

Fax

(714) 846-8181

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brett C Brazeal, DDS

Title

President

Phone

(310) 795-0585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Nguyen, DDS

  • Dentist
  • Huntington Beach, CA
  • NPI 1760165344
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1306187935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494660",
            "telephone_number": "714-846-1414",
            "fax_number": "714-846-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494660",
            "telephone_number": "714-846-1414",
            "fax_number": "714-846-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZEAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "BRAZEAL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-795-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Cyns Branch, MFT
• Dale Edwin Brandon, DDS
• Jennifer Lynn Branson, D.P.T., P.T.
• Cassandra Braxton, COTA
• Erin Bray, PHD
• Breakwater Family Therapy Group Inc.
• Arnold J Brender, MD
• Brent O Nichols DDS Apc
• Brenwitz Inc.
• Gracie Brestel

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.