Individual provider Active NPI

Brett Thomas Rouleau, D.D.S.

  • General Practice Dentistry
  • Alameda, CA
National Provider Identifier
1467452334
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43851 Issued in CA
Practice address
2100 Otis Dr
Suite D
Alameda, CA 94501-5786
Phone
(510) 521-5252
Fax
(510) 521-5357
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43851 CA Primary

Addresses

Primary practice location

2100 Otis Dr
Suite D
Alameda, CA 94501-5786

Mailing address

2100 Otis Dr
Suite D
Alameda, CA 94501-5786
Phone (510) 521-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713003128 CA Order and Referring Only - DentistPractitioner - Dentist 5294048740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43851CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Chen DDS Inc PastSince Feb 9, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467452334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 OTIS DR",
            "address_2": "SUITE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015786",
            "telephone_number": "510-521-5252",
            "fax_number": "510-521-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OTIS DR",
            "address_2": "SUITE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015786",
            "telephone_number": "510-521-5252",
            "fax_number": "510-521-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROULEAU",
        "first_name": "BRETT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.