Bruk P. Weymouth, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2091 Issued in MT

Legal business name

BRUK P. WEYMOUTH, DDS, PC

Doing business as

Family Dental Center

Practice address

3224 10TH Ave S
Great Falls, MT 59405-3449

Phone

(406) 727-1006

Fax

(406) 727-1008

NPI assigned

Jan 15, 2007

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Penny Weymouth

Title

Office Manager

Phone

(406) 727-1006

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Family Dental Center Doing business as

Locations

Practitioners 2

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.

• Eugene Bollwitt

  • General Practice Dentistry
  • Great Falls, MT
  • NPI 1760604821
  NPD (past)
• Bruk Weymouth

  • General Practice Dentistry
  • Great Falls, MT
  • NPI 1568683688
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1053462341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7050",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594067050",
            "telephone_number": "406-727-1006",
            "fax_number": "406-727-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 10TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053449",
            "telephone_number": "406-727-1006",
            "fax_number": "406-727-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUK P. WEYMOUTH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "WEYMOUTH",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-727-1006"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1786",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR WEYMOUTH CHIP ID #",
            "identifier": "5512386",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR BOLLWITT CHIP ID#",
            "identifier": "5512284",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112659",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112829",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce D Fisher DPM PC (Advanced Foot and Ankle Center of MT)
• John Macmillan Bruce IV, D.D.S.
• Rachael Bruce
• Christopher G. Bruch, D.D.S., M.S.D.
• Brett Clyde Bruggeman, DDS
• Karen Jean Brunner
• Jade Brunsvold, OD
• Christina Marie Bryan, CCC,SLP
• Erika M Bryan, PA -C
• Michael Patrick Bryant, DO

• General Practice Dentistry in Great Falls, MT
• Providers in Great Falls, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.