NPIMap

Organization Active NPI

Bryan Dental Office, PLC

  • Dentist
  • Mt Pleasant, MI
National Provider Identifier
1497066690
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012751 Issued in MI
Legal business name
BRYAN DENTAL OFFICE, PLC
Practice address
1936 S Summerton Rd
Mt Pleasant, MI 48858-1109
Phone
(989) 772-1040
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
F. Allen Bryan, D.D.S.NPI 1326107640
Title
President
Phone
(989) 772-1040

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 012751 MI Primary

Addresses

Primary practice location

1936 S Summerton Rd
Mt Pleasant, MI 48858-1109

Mailing address

1936 S Summerton Rd
Mt Pleasant, MI 48858-1109
Phone (989) 772-1040

National Provider Directory

National Provider Directory

Locations

1936 S Summerton Rd
Mt Pleasant, MI 48858
Phone (989) 772-1040

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": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1497066690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 S SUMMERTON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581109",
            "telephone_number": "989-772-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 S SUMMERTON RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581109",
            "telephone_number": "989-772-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN DENTAL OFFICE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-772-1040",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "012751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.