Organization Active NPI

Michael J. Brunner, DDS, PC

  • Dentist
  • Pinckney, MI
National Provider Identifier
1194273573
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13128 Issued in MI
Legal business name
MICHAEL J. BRUNNER, DDS, PC
Practice address
315 S Howell St
Pinckney, MI 48169-7900
Phone
(734) 878-3167
Fax
(734) 878-3168
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Dr. Elizabeth Prast, D.D.S.
Title
Dentist
Phone
(734) 878-3167

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 13128 MI Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901020228 MI

Addresses

Primary practice location

315 S Howell St
Pinckney, MI 48169-7900

Mailing address

315 S Howell St
Pinckney, MI 48169-7900
Phone (734) 878-3167

National Provider Directory

National Provider Directory

Locations

315 S Howell St
Pinckney, MI 48169
Phone (734) 878-3167

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1194273573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S HOWELL ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481697900",
            "telephone_number": "734-878-3167",
            "fax_number": "734-878-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S HOWELL ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481697900",
            "telephone_number": "734-878-3167",
            "fax_number": "734-878-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. BRUNNER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "PRAST",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-878-3167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "13128",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckney, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.