Breckenridge Dental, PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRECKENRIDGE DENTAL, PSC

Practice address

3348 Hikes LN Ste 107
Louisville, KY 40220-2000

Phone

(502) 451-5222

Fax

(502) 451-5263

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Jeff King, DMD

Title

Owner

Phone

(502) 451-5222

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jeffrey Wayne King, DMD

  • General Practice Dentistry
  • Lexington, KY
  • NPI 1124042866

  General Practice

  NPD

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1396545083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 HIKES LN STE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202000",
            "telephone_number": "502-451-5222",
            "fax_number": "502-451-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 HIKES LN STE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202000",
            "telephone_number": "502-451-5222",
            "fax_number": "502-451-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECKENRIDGE DENTAL, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-451-5222",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Brazin, APRN
• Christine Brazzell
• Breaking Barriers of Ky LLC
• Regan Bream, PTA
• Andrea Catherine Breaux
• Breckenridge Medical Group, PSC
• Sara M Breckenridge
• Shenika Lanee Breed
• Ann Breeden
• Kathryn Mara Thompson Breeden, APRN

• All providers in Louisville, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.