Michael B Bush, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8270 Issued in NC

Practice address

7864 US Highway 117
Suite a
Rocky Point, NC 28457

Phone

(910) 210-2058

Fax

(910) 210-2065

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Michael Brian Bush, DMD, PA

  dba Rocky Point Dental

  • General Practice Dentistry
  • Rocky Point, NC
  • NPI 1033442751
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1013069491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 BARLOW CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092583",
            "telephone_number": "910-398-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7864 US HIGHWAY 117",
            "address_2": "SUITE A",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "28457",
            "telephone_number": "910-210-2058",
            "fax_number": "910-210-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904628",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catharine Batson
• Black River Health Services, Inc. (Black River Family Practice at Rocky Point)
• Tracy Black, S.L.P.
• Shanna Pollock Bradshaw, PA
• Carol Burkie
• Sarah Abbitt Bush, MS, RD
• Carolina Healthcare Associates Inc (Pender Primary Care - Rocky Point)
• Hailey Victoria Carter, LCMHCA
• Coastal Horizons Center Inc
• Coastal Horizons Center Inc

• General Practice Dentistry in Rocky Point, NC
• Providers in Rocky Point, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.