Individual provider Active NPI

Byron David Breininger, DDS

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1972573558
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008404 Issued in VA
Practice address
1453 Kempsville Rd
Suite #104
Virginia Beach, VA 23464-7319
Phone
(757) 467-9622
Fax
(757) 467-6920
NPI assigned
Jan 25, 2006
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008404 VA Primary
Dentist 122300000X 12008678A IN

Addresses

Primary practice location

1453 Kempsville Rd
Suite #104
Virginia Beach, VA 23464-7319

Mailing address

1453 Kempsville Rd
Suite #104
Virginia Beach, VA 23464-7319
Phone (757) 467-9622

Other names 1

  • Dr. B David Breininger Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421002471 VA Order and Referring Only - Other (Non-Physician) 5890013957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008678AINMDDentist
0401008404VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
B David Breininger, DDS PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1972573558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 KEMPSVILLE RD",
            "address_2": "SUITE #104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647319",
            "telephone_number": "757-467-9622",
            "fax_number": "757-467-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 KEMPSVILLE RD",
            "address_2": "SUITE #104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647319",
            "telephone_number": "757-467-9622",
            "fax_number": "757-467-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREININGER",
        "first_name": "BYRON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008404",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008678A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "BREININGER",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.