Murray S Baruch, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

012767 Issued in MI

Practice address

2040 Woodrow Wilson Blvd
West Bloomfield, MI 48324-1772

Phone

(248) 682-2550

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Bloomfield Dentistry, PLLC

  • Dental Clinic/Center
  • West Bloomfield, MI
  • NPI 1679302764
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275538787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WOODROW WILSON BLVD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241772",
            "telephone_number": "248-682-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WOODROW WILSON BLVD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241772",
            "telephone_number": "248-682-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "MURRAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "012767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Barnett, LLMSW
• Lisa Ellen Barnthouse
• Sarah Nicole Barr, NP
• Brenna Barreiro
• Barry Jay, PH.D., P.L.L.C.
• Kathy Lynn Bashawaty, MSN, FNP-BC
• Nazanin F Bastani, PHARM.D
• Tamara Baubie, SLP
• Jacqueline Bauer
• Malgorzata Baumann, DNP, APRN, ACNPC-AG

• Dentist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.