Mark A Breiner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CT4359 Issued in CT

Practice address

5520 Park Ave
Ste. 301
Trumbull, CT 06611-3463

Phone

(203) 371-0300

Fax

(203) 365-8479

NPI assigned

Apr 15, 2011

Last updated

Apr 15, 2011By 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": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1427348085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE",
            "address_2": "STE. 301",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE",
            "address_2": "STE. 301",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113463",
            "telephone_number": "203-371-0300",
            "fax_number": "203-365-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "CT4359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bracale, PMHCNS-BC,APRN
• David M. Brady, N.D.
• Natalia Brakoniecki
• Justin Elijah Brantley, DPT
• Adam Ben Breiner, N.D.
• Joanna F Breunig, PAC
• Hortense Briggs, RN
• Kristen M Broedlin, NP
• Melissa Bromell
• Deborah D. Brown, LPC

• General Practice Dentistry in Trumbull, CT
• Providers in Trumbull, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.