Breanna Marie Campbell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

38079 Issued in TX

Practice address

1337 Thorpe LN
San Marcos, TX 78666-7113

Phone

(512) 396-5225

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Marcos Gentle Dental, PLLC

  • Dental Clinic/Center
  • San Marcos, TX
  • NPI 1609668987
  NPD

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1447904651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 THORPE LN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667113",
            "telephone_number": "512-635-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 THORPE LN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667113",
            "telephone_number": "512-396-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Donovan Butter, D.O.
• Cynthia J Cabrera
• Alcides Baltasar Cairus, M.D.
• Ariel Caldwell, LCSW
• Calma Luna Counseling
• Erik Anthony Campos, PT, DPT
• Myla J. Canales, M.D.
• Joy Marie Cannon, LPC
• Concepcion Cantu, LBSW
• Kayla Cantu

• Dentist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.