Philip Stanley Breuleux, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24364 Issued in CA

Practice address

333 El Dorado St
Monterey, CA 93940-4606

Phone

(831) 373-1507

Fax

(831) 655-6434

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407950942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404606",
            "telephone_number": "831-373-1507",
            "fax_number": "831-655-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404606",
            "telephone_number": "831-373-1507",
            "fax_number": "831-655-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREULEUX",
        "first_name": "PHILIP",
        "middle_name": "STANLEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Monterey, CA
• Providers in Monterey, 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 Jul 8, 2007; 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.