Breck Brewer, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN23270 Issued in FL

Practice address

1291 Blackwood Ave
Ocoee, FL 34761

Phone

(407) 656-0001

NPI assigned

Sep 12, 2006

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

State licenses

Practice roles

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.

• W. K. Fravel, D.M.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ocoee, FL
  • NPI 1346303658
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1811091358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-656-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CRM 450",
            "address_2": "BOX 428",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09705",
            "country_code": "US",
            "telephone_number": "314-590-4308",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "BRECK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN23270",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Kotrina Box
• Shannon L Boyer, MD
• William Bradford, MD
• Carolina Brandan, MD
• Bridgett Kenetra Breeden
• Brian T. Burry, O.D., P.a.
• Bridge of Independence LLC
• Davanna Bridgmohan
• Steven Lee Brint, MD
• Christopher Brito, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.