Tylor Daniel Brekke, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D11229 Issued in OR

Practice address

536 SE Oak St
Hillsboro, OR 97123-4118

Phone

(503) 648-7775

NPI assigned

Jul 24, 2018

Last updated

Apr 6, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tylor Brekke DMD Ms PC

  dba Brekke & Sayre Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hillsboro, OR
  • NPI 1619556628
  NPD Authorized official

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1578040374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SW MOODY AVE, SD-ORTHO",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015042",
            "telephone_number": "504-459-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SE OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234118",
            "telephone_number": "503-648-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREKKE",
        "first_name": "TYLOR",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D11229",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Braverman
• Kasia Bray, MACCC/SLP02
• Raven Breckenridge
• Brian Allen Breckley, PA-C
• Mary Ann Brehm, PT
• Kristen Anne Brennan, DC
• Dustin V. Breshears
• Brian W Kelly MD PC
• Bridge to Health Chiropractic LLC
• Michael Bridges, PT, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.