NPIMap

Organization Active NPI

Casey Bruhn, D.D.S., PC

  • Dental Clinic/Center
  • Grand Haven, MI
National Provider Identifier
1356029342
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CASEY BRUHN, D.D.S., PC
Practice address
16930 Robbins Rd Ste 100
Grand Haven, MI 49417-2784
Phone
(616) 842-5640
Fax
(616) 842-0055
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Frederick Casey Bruhn, DDS
Title
Dentist/Owner
Phone
(616) 842-5640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

16930 Robbins Rd Ste 100
Grand Haven, MI 49417-2784

Mailing address

16930 Robbins Rd Ste 100
Grand Haven, MI 49417-2784
Phone (616) 842-5640

National Provider Directory

National Provider Directory

Locations

16930 Robbins Rd
Ste 100
Grand Haven, MI 49417
Phone (616) 842-5640

Practitioners & affiliated clinicians

Practitioners 1

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1356029342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16930 ROBBINS RD STE 100",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172784",
            "telephone_number": "616-842-5640",
            "fax_number": "616-842-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16930 ROBBINS RD STE 100",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172784",
            "telephone_number": "616-842-5640",
            "fax_number": "616-842-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY BRUHN, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "BRUHN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "616-842-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.