Brush Up Dental PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0401410585 Issued in VA

Legal business name

BRUSH UP DENTAL PC

Practice address

7000 Forest Ave
#800
Richmond, VA 23230

Phone

(804) 673-5280

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jason T Lipscomb, DDS PCNPI 1437238599

Title

Dentist

Phone

(804) 986-4058

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Brush Up Dental PC

  • Dental Clinic/Center
  • Chesterfield, VA
  • NPI 1871148775
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Todd Lipscomb, D.D.S.

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1437238599
  NPD Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1366818841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 FOREST AVE",
            "address_2": "#800",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-673-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 FOREST AVE",
            "address_2": "#800",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-673-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH UP DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-986-4058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401410585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid W. Brunson-Griffin
• Krystle Brunson
• Melani R Brunson, NP
• Joshua Brunton, DO
• Nichole Elizabeth Brunton, DO
• Anastasia Brusilovsky, NP
• Ilia A. Brusilovsky, MD
• Joseph Dominic Bruzzese, M.D.
• Vivian Bruzzese, MD
• Andrah Bryan

• Preferred Provider Organization in Richmond, VA
• Providers in Richmond, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.