Vicki Breaker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00005989 Issued in WA

Practice address

1708 E 44TH Street
Tacoma, WA 98404

Phone

(253) 572-7002

Fax

(253) 593-2854

NPI assigned

Aug 5, 2006

Last updated

Mar 31, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1457360034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PACIFIC AVE",
            "address_2": "STE. 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024443",
            "telephone_number": "253-722-1540",
            "fax_number": "253-722-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E 44TH STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98404",
            "telephone_number": "253-572-7002",
            "fax_number": "253-593-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAKER",
        "first_name": "VICKI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007786",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Susan Brazas, DPT
• Jean Brazeal
• Steven Rodney Brazel Jr., AU.D., CCC-A
• Jennifer Skype Brazer
• Jordyn Brazier
• Patricia Rose Breakfield, OTR/L
• Karen R Bream, MA LMHC
• Rowin Mateo Breaux
• David B Brecher, MD
• Ryan Patrick Bredeweg, M.D.

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.