Active NPI
Brungo Family Dentistry
- General Practice Dentistry
- State College, PA
National Provider Identifier
1245387521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS028734L
- Legal business name
- BRUNGO FAMILY DENTISTRY
- Practice address
- 234 E College Ave
State College, PA 16801-4757 - Phone
- (814) 237-4300
- Fax
- (814) 237-4303
- NPI assigned
- Jan 5, 2007
- 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. Ronald A Brungo, D.M.D.
- Title
- Dentist
- Phone
- (814) 237-4300
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS028734L | PA | Primary |
| General Practice Dentistry | 1223G0001X | DS028551L | PA |
Addresses
Primary practice location
234 E College Ave
State College, PA 16801-4757
Mailing address
234 E College Ave
State College, PA 16801-4757
Phone (814) 237-4300
National Provider Directory
National Provider DirectoryLocations
234 E College Ave
State College, PA 16801
Phone (814) 237-4300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- State College, PA
- NPI 1306900675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245387521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 E COLLEGE AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168014757",
"telephone_number": "814-237-4300",
"fax_number": "814-237-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E COLLEGE AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168014757",
"telephone_number": "814-237-4300",
"fax_number": "814-237-4303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNGO FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRUNGO",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "814-237-4300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS028734L",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS028551L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
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.