Dr. John W. Bruns, D.D.S. Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

25105 Issued in CA

Legal business name

DR. JOHN W. BRUNS, D.D.S. INC

Practice address

2021 Ygnacio Valley Rd
Suite a-2
Walnut Creek, CA 94598-3391

Phone

(925) 934-7755

Fax

(925) 934-4246

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W Bruns, D.D.S

Title

Periodontist

Phone

(925) 934-7755

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1609073790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD",
            "address_2": "SUITE A-2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983391",
            "telephone_number": "925-934-7755",
            "fax_number": "925-934-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD",
            "address_2": "SUITE A-2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983391",
            "telephone_number": "925-934-7755",
            "fax_number": "925-934-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN W. BRUNS, D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "925-934-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "25105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.