Active NPI
Michael J. Brunner, DDS, PC
- Dentist
- Pinckney, MI
National Provider Identifier
1194273573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13128
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13128 | MI | Primary |
| Dentist | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Pinckney, MI
- NPI 1134229701
-
- Dentist
- Detroit, MI
- NPI 1144835059
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.