Eric W. Brust DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15547 Issued in MI

Legal business name

ERIC W. BRUST DDS PC

Practice address

2355 W Stadium Blvd
Ann Arbor, MI 48103-3852

Phone

(734) 662-7200

Fax

(734) 662-7220

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Eric W Brust, DDS MS

Title

President

Phone

(313) 299-9700

Specialties & licenses 1

Addresses

Tax ID family

Eric W Brust DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eric W. Brust DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Taylor, MI
  • NPI 1174695522
  NPD tax ID

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1093099392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 W STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033852",
            "telephone_number": "734-662-7200",
            "fax_number": "734-662-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 W STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033852",
            "telephone_number": "734-662-7200",
            "fax_number": "734-662-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC W. BRUST DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BRUST",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-299-9700",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "15547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Eppes
• Quyen Mai Epstein-Ngo, M.S.
• Madeline Jane Epsten, MD
• Harry P Erba, MD
• Brittney Alexandra Erck, LMSW
• Sarah Ericksen
• Christine A Erickson, PA-C
• Erin L. Erickson, MOT, OTRL
• Julia Gray Erickson
• Kimberly Mossner Erickson, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.