Organization Active NPI

Breeze Dental, PLLC

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1740409358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5673 Issued in AZ
Legal business name
BREEZE DENTAL, PLLC
Practice address
2680 S Val Vista Dr
Suite 103
Gilbert, AZ 85296-6604
Phone
(480) 782-8825
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Hung-Che Liao, DDS
Title
Owner
Phone
(480) 782-8825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5673 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr
Suite 103
Gilbert, AZ 85296-6604

Mailing address

2680 S Val Vista Dr
Suite 103
Gilbert, AZ 85296-6604
Phone (480) 782-8825

National Provider Directory

National Provider Directory

Locations

2680 S Val Vista Dr
Ste 103
Gilbert, AZ 85295
Phone (480) 782-8825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740409358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852966604",
            "telephone_number": "480-782-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852966604",
            "telephone_number": "480-782-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "HUNG-CHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-782-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.