NPIMap

Organization Active NPI

Michael D. Bryman, D.D.S., Inc.

  • Dentist
  • Ventura, CA
National Provider Identifier
1386779155
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24084 Issued in CA
Legal business name
MICHAEL D. BRYMAN, D.D.S., INC.
Practice address
6633 Telephone Rd
Suite #225
Ventura, CA 93003-5569
Phone
(805) 642-1555
Fax
(805) 642-1687
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Michael Bryman, D.D.S.NPI 1518209212
Title
President
Phone
(310) 475-1881

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24084 CA Primary

Addresses

Primary practice location

6633 Telephone Rd
Suite #225
Ventura, CA 93003-5569

Mailing address

6633 Telephone Rd
Suite #225
Ventura, CA 93003-5569
Phone (805) 642-1555

Other identifiers 1

IdentifierTypeStateIssuer
24084OtherCACA DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

6633 Telephone Rd
Ste 225
Ventura, CA 93003
Phone (805) 642-1555

Practitioners & affiliated clinicians

Practitioners 5

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1386779155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 TELEPHONE RD",
            "address_2": "SUITE #225",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035569",
            "telephone_number": "805-642-1555",
            "fax_number": "805-642-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 TELEPHONE RD",
            "address_2": "SUITE #225",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035569",
            "telephone_number": "805-642-1555",
            "fax_number": "805-642-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. BRYMAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "BRYMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-475-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "24084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL LICENSE",
            "identifier": "24084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.