Organization Active NPI

Michael Brian Bush, DMD, PA

Doing business as Rocky Point Dental

  • General Practice Dentistry
  • Rocky Point, NC
National Provider Identifier
1033442751
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8270 Issued in NC
Legal business name
MICHAEL BRIAN BUSH, DMD, PA
Doing business as
Rocky Point Dental
Practice address
7864 US Hwy 117 S
Suite a
Rocky Point, NC 28457
Phone
(910) 210-2058
Fax
(910) 210-2069
NPI assigned
Sep 14, 2009
Last updated
Sep 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Dr. Michael Brian Bush, D.M.D.NPI 1013069491
Title
Owner/Dentist
Phone
(910) 210-2058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8270 NC Primary

Addresses

Primary practice location

7864 US Hwy 117 S
Suite a
Rocky Point, NC 28457

Mailing address

7864 US Hwy 117 S
Suite a
Rocky Point, NC 28457
Phone (910) 210-2058

Other names 1

  • Rocky Point Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7864 US Hwy 117 S
Ste A
Rocky Point, NC 28457
Phone (910) 210-2058

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1033442751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7864 US HWY 117 S",
            "address_2": "SUITE A",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "28457",
            "telephone_number": "910-210-2058",
            "fax_number": "910-210-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7864 US HWY 117 S",
            "address_2": "SUITE A",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "28457",
            "telephone_number": "910-210-2058",
            "fax_number": "910-210-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BRIAN BUSH, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "910-210-2058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Point Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.