Organization Active NPI

Brighton Dental PLLC

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1194876433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032039-1 Issued in NY
Legal business name
BRIGHTON DENTAL PLLC
Practice address
125 White Spruce Blvd
Rochester, NY 14623-1607
Phone
(585) 424-5660
Fax
(585) 424-1239
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yellappa C Mruthyunjaya, B.D.S., M.P.H.
Title
President
Phone
(585) 424-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 032039-1 NY Primary

Addresses

Primary practice location

125 White Spruce Blvd
Rochester, NY 14623-1607

Mailing address

125 White Spruce Blvd
Rochester, NY 14623-1607
Phone (585) 424-5660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194876433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231607",
            "telephone_number": "585-424-5660",
            "fax_number": "585-424-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231607",
            "telephone_number": "585-424-5660",
            "fax_number": "585-424-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MRUTHYUNJAYA",
        "authorized_official_first_name": "YELLAPPA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-424-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S., M.P.H."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032039-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.