NPIMap

Organization Active NPI

Jeffrey J Brus DMD PLLC

  • Dentist
  • Puyallup, WA
National Provider Identifier
1245476571
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00006838 Issued in WA
Legal business name
JEFFREY J BRUS DMD PLLC
Practice address
16021 Meridian E
Puyallup, WA 98375-9605
Phone
(253) 845-1600
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Jeffrey L Brus, DMD
Title
Dentist
Phone
(253) 845-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE00006838 WA Primary

Addresses

Primary practice location

16021 Meridian E
Puyallup, WA 98375-9605

Mailing address

16021 Meridian E
Puyallup, WA 98375-9605
Phone (253) 845-1600

Other names 1

  • Meridian Dental care Doing business as

National Provider Directory

National Provider Directory

Locations

16021 Meridian E
Puyallup, WA 98375
Phone (253) 845-1600

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": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1245476571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 MERIDIAN E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759605",
            "telephone_number": "253-845-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16021 MERIDIAN E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759605",
            "telephone_number": "253-845-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J BRUS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "BRUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-845-1600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.