Gentle Breeze Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DN16316 Issued in FL

Legal business name

GENTLE BREEZE DENTAL

Practice address

1761 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5479

Phone

(321) 474-1549

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Trong Diep, DMD

Title

Doctor

Phone

(321) 474-1549

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin V Diep, DMD

  • General Practice Dentistry
  • Port Saint Lucie, FL
  • NPI 1093875940
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1952745408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "321-474-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "321-474-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE BREEZE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "TRONG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "321-474-1549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Luz Garzon
• Diasmene Gaspard, NP-C
• Gastroenterology Associates of the Treasure Coast, P.a.
• Maira Gayoso
• Makenson Geffrard
• Gentle Care Companions of Florida LLC
• Gentle Chiropractic Offices, Inc.
• Gentle Pace Counseling LLC
• Tanya Georges, APRN
• Creg Bertin Germain Sr.

• Dentist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.