Randy Breen, D.D.S

InactiveIndividual ProviderDentistry
NPI issued: July 17, 2005

Quick Facts

NPI Number
1003815655
TypeIndividual
StatusInactive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(616) 454-9091
StateMI

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1003815655)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 17, 2005)
Data source: CMS NPPES

Provider Overview

RANDY BREEN, D.D.S is a Dentistry provider based in Grand Rapids, MI who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1003815655
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusInactive
Enumeration DateJuly 17, 2005

Practice Location

CityGrand Rapids
StateMI
ZIP Code49506-2931
Phone(616) 454-9091

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateMI

Mailing Address

CityGrand Rapids
StateMI
ZIP Code49506-2931
Phone(616) 454-9091
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1003815655 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1003815655for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1003815655 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Randy Breen's NPI number?
Randy Breen's NPI number is 1003815655, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Randy Breen's NPI currently active?
No, Randy Breen's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Randy Breen specialize in?
Randy Breen specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Randy Breen practice?
Randy Breen practices in Grand Rapids, MI 49506-2931.
When was Randy Breen's NPI issued?
Randy Breen's NPI was issued on July 17, 2005.
What is Randy Breen's provider type?
Randy Breen is registered as an Individual Provider under CMS NPI Type 1.