Active NPI
Bruce Hilary Purmell, D.D.S
- General Practice Dentistry
- Jackson, MI
National Provider Identifier
1154547644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14266
- Practice address
- 2002 Spring Arbor Rd
Suite B
Jackson, MI 49203-2888 - Phone
- (517) 782-9533
- Fax
- (517) 782-9614
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14266 | MI | Primary |
Addresses
Primary practice location
2002 Spring Arbor Rd
Suite B
Jackson, MI 49203-2888
Mailing address
843 Hazelwood Blvd
Jackson, MI 49203-2501
Phone (517) 784-2613
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14266 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154547644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 HAZELWOOD BLVD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492032501",
"telephone_number": "517-784-2613",
"fax_number": "517-782-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 SPRING ARBOR RD",
"address_2": "SUITE B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492032888",
"telephone_number": "517-782-9533",
"fax_number": "517-782-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURMELL",
"first_name": "BRUCE",
"middle_name": "HILARY",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "14266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.