DR. BRETT CHRISTOPHER BRAZEAL (NPI# 1598891095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598891095 |
| Entity Type | Individual |
| Full Name | DR. BRETT CHRISTOPHER BRAZEAL |
| Credential | DDS |
| Practice Address |
2345 E Coast Hwy Ste B Corona Del Mar CA 92625-2034 |
| Practice Telephone | 9496736443 |
| Practice Fax Number | 9496736447 |
| Mailing Telephone | 9496736443 |
| Mailing Fax Number | 9496736447 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 54954 | CA | Dental Providers |
| Street Address |
2345 E COAST HWY STE B |
| City | CORONA DEL MAR |
| State | CA |
| Zip Code | 92625-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192041 | Lisa Menaker Quinn | Marriage & Family Therapist | 2345 E. Coast Highway, Suite D, Corona Del Mar, CA 92625 | 2018-08-01 |
| 1205210945 | Kelly Mccann | Marriage & Family Therapist | 2721 East Pacific Coast Highway, Suite 209, Corona Del Mar, CA 92625 | 2015-07-13 |
| 1831501113 | Bert Shepley | Marriage & Family Therapist | 1111 Bayside Drive, Suite 212, Corona Del Mar, CA 92625 | 2014-05-21 |
| 1295157741 | Jamie Young | Marriage & Family Therapist | 505 Larkpur Ave, Corona Del Mar, CA 92625 | 2014-01-16 |
| 1225321185 | Miramar Health Inc | Substance Abuse Rehabilitation Facility | 435 Dahlia Avenue, Newport Beach, CA 92625 | 2011-05-25 |
| 1972745362 | Andrew W Spath | Dentist | 2121 E Coast Hwy Ste 290, Corona Del Mar, CA 92625 | 2009-03-31 |
| 1790934743 | James Hair | Dentist | 3800 E. Pacific Coast Hwy., #2, Corona Del Mar, CA 92625 | 2008-09-15 |
| 1912173006 | Kevin J Taylor Dds Inc | Dentist | 2716 East Coast Hwy, Corona Del Mar, CA 92625 | 2008-05-08 |
| 1306048939 | Stephen Douglas Hutchins | Chiropractor | 2101 E Coast Hwy, Corona Del Mar, CA 92625 | 2007-06-05 |
| 1619094893 | Burr Vonmaur | Plastic Surgery | 1101 Bayside Drive, Suite 100, Corona Del Mar, CA 92625 | 2007-03-23 |
| Find all providers in zip 92625 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942639109 | Kevin Taylor | Dentist | 2716 E Coast Hwy, Corona Del Mar, CA 92625-2134 | 2013-11-07 |
| 1790934743 | James Hair | Dentist | 3800 E. Pacific Coast Hwy., #2, Corona Del Mar, CA 92625 | 2008-09-15 |
| 1912173006 | Kevin J Taylor Dds Inc | Dentist | 2716 East Coast Hwy, Corona Del Mar, CA 92625 | 2008-05-08 |
| 1720196173 | Pavithra Shetty Thankachen | Dentist | 2131 East Coast Hwy Suite 220, Corona Del Mar, CA 92625-3421 | 2006-08-27 |
| 1003807199 | George W Brazeal | Dentist | 2345 E Coast Hwy, Suite B, Corona Del Mar, CA 92625-2034 | 2005-10-29 |
| 1710106752 | Robert C Larner | Dentist | 2121 E. Coast Highway, Suite 140, Corona Del Mar, CA 92625 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CORONA DEL MAR |
| Zip Code | 92625 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.