Anne Margaret Breum, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1870 Issued in MT

Practice address

715 Kensington Ave
Ste 6
Missoula, MT 59801-5700

Phone

(406) 543-8591

Fax

(406) 543-9776

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1750386074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE",
            "address_2": "STE 6",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-543-8591",
            "fax_number": "406-543-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE",
            "address_2": "STE 6",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-543-8591",
            "fax_number": "406-543-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUM",
        "first_name": "ANNE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS PROVIDER NUMBER",
            "identifier": "5512611",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115375",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah M Bray, DPT
• Krista Ann Brayko, N.D.
• Molly Siobhan Brazil, MD
• Brittany Beth Breitenbach, LAC
• Brianna Brennan
• Elizabeth Brewer
• Patricia Lynn Brewer, P.A.-C
• Kenneth C Brewington II, MD
• Faith Audrey Briars
• Carol Bridges, MD

• General Practice Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.