NPIMap

Organization Active NPI

Harvey H Breckner D.M.D.,M.S

  • Exclusive Provider Organization
  • Edwardsville, IL
National Provider Identifier
1447415757
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
19020061 Issued in IL
Legal business name
HARVEY H BRECKNER D.M.D.,M.S
Practice address
600 Country Club View Suite 4
Edwardsville, IL 62025
Phone
(618) 307-3267
NPI assigned
Jul 25, 2008
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Harvey H BrecknerNPI 1962663245
Title
Dentist
Phone
(618) 307-3267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 19020061 IL Primary

Addresses

Primary practice location

600 Country Club View Suite 4
Edwardsville, IL 62025

Mailing address

600 Country Club View Suite 4
Edwardsville, IL 62025
Phone (618) 307-3267

National Provider Directory

National Provider Directory
Tax ID family
Harvey H Breckner Dmdms2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 Country Club Vw
Ste 4
Edwardsville, IL 62025
Phone (618) 307-3267

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1447415757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COUNTRY CLUB VIEW SUITE 4",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "618-307-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COUNTRY CLUB VIEW SUITE 4",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "618-307-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY H BRECKNER D.M.D.,M.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BRECKNER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "618-307-3267"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": "19020061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.