Active NPI
Brunk Family Dental Care
- Dentist
- Metropolis, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019019107
- Legal business name
- BRUNK FAMILY DENTAL CARE
- Practice address
- 805 Market St
Unit B
Metropolis, IL 62960-1635 - Phone
- (618) 940-0542
- NPI assigned
- Feb 25, 2013
- Last updated
- Feb 25, 2013
- Organization subpart
- Yes
- Parent organization
- FAMILY DENTAL CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark G Brunk, D.M.D.
- Title
- Dentist
- Phone
- (618) 283-2929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019019107 | IL | Primary |
Addresses
Primary practice location
805 Market St
Unit B
Metropolis, IL 62960-1635
Mailing address
607 W Orchard St
Vandalia, IL 62471-1234
Phone (618) 940-0542
National Provider Directory
National Provider Directory- Part of
- Brunk Family Dental Care
Locations
805 Market St
Unit B
Metropolis, IL 62960
Phone (618) 940-0542
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Vandalia, IL
- NPI 1871668012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361750400000",
"number": "1497095608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 W ORCHARD ST",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624711234",
"telephone_number": "618-940-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MARKET ST",
"address_2": "UNIT B",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629601635",
"telephone_number": "618-940-0542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNK FAMILY DENTAL CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY DENTAL CARE",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A",
"authorized_official_last_name": "BRUNK",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "618-283-2929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019019107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.