Convenient BR PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901019426 Issued in MI

Legal business name

CONVENIENT BR PC

Practice address

2120 Grand River Anx
Suite 100
Brighton, MI 48114-7392

Phone

(810) 225-0022

Fax

(810) 225-0033

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Christine R Maschke

Title

Asst. to Gen. MGR

Phone

(248) 542-9700

Specialties & licenses 1

Addresses

Other names 1

• Distinctive Dental Doing business as

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1033548201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 GRAND RIVER ANX",
            "address_2": "SUITE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147392",
            "telephone_number": "810-225-0022",
            "fax_number": "810-225-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 GRAND RIVER ANX",
            "address_2": "SUITE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147392",
            "telephone_number": "810-225-0022",
            "fax_number": "810-225-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT BR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "MASCHKE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASST. TO GEN. MGR",
        "authorized_official_telephone_number": "248-542-9700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinctive Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Concienne, DPT
• Sheri R Congdon, MA
• Rachel Conner
• Clay James Connolly, OD
• Continuum Geriatric Services PLLC
• Cook & Hayden Vision Care Center
• Mark J Cook, O.D.
• Paige Angelica Cook, CTRS
• Tracey Cook, LMSW
• Theresa M. Cooney, MD

• Dentist in Brighton, MI
• Providers in Brighton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.