NPIMap

Organization Active NPI

Coldwater Dental Inc

  • General Practice Dentistry
  • Coldwater, OH
National Provider Identifier
1245328129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COLDWATER DENTAL INC
Practice address
750 W Main St
Coldwater, OH 45828-1611
Phone
(419) 678-4806
Fax
(419) 678-0077
NPI assigned
Oct 10, 2006
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. Michael J Bruns, DDSNPI 1922196898
Title
President
Phone
(419) 678-4806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

750 W Main St
Coldwater, OH 45828-1611

Mailing address

PO Box 68
750 W Main St
Coldwater, OH 45828-0068
Phone (419) 678-4806

Other identifiers 1

IdentifierTypeStateIssuer
0965282MedicaidOH

National Provider Directory

National Provider Directory

Locations

750 W Main St
Coldwater, OH 45828
Phone (419) 678-4806

Practitioners & affiliated clinicians

Practitioners 4

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245328129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "address_2": "750 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458280068",
            "telephone_number": "419-678-4806",
            "fax_number": "419-678-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281611",
            "telephone_number": "419-678-4806",
            "fax_number": "419-678-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-678-4806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965282",
            "state": "OH"
        }
    ],
    "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 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.