Individual provider Active NPI

Veronica L Brunet, DDS

  • General Practice Dentistry
  • Coldwater, OH
National Provider Identifier
1124683073
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025756 Issued in OH
Practice address
702 W Sycamore St
Coldwater, OH 45828-1623
Phone
(419) 678-3170
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025756 OH Primary

Addresses

Primary practice location

702 W Sycamore St
Coldwater, OH 45828-1623

Mailing address

702 W Sycamore St
Coldwater, OH 45828-1623
Phone (419) 678-3170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.025756OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brunet Dental LLC General Practice CurrentSince Apr 3, 2022 Accepting new patients
Curtisb. Kline DDS, LLC PastSince Apr 3, 2022 Accepting new patients
Grand Lake Family Dentistry, LTD. Past Accepting new patients

Locations

702 W Sycamore St
Coldwater, OH 45828

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1124683073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W SYCAMORE ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281623",
            "telephone_number": "419-678-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W SYCAMORE ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281623",
            "telephone_number": "419-678-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNET",
        "first_name": "VERONICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.