Cavan Michael Brunsden, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12832 Issued in NJ

Practice address

2455 County Road 516
Kidzdent Children'S Dental Care
Old Bridge, NJ 08857-1892

Phone

(732) 679-2323

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629192174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 COUNTY ROAD 516",
            "address_2": "KIDZDENT CHILDREN'S DENTAL CARE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571892",
            "telephone_number": "732-679-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 COUNTY ROAD 516",
            "address_2": "KIDZDENT CHILDREN'S DENTAL CARE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571892",
            "telephone_number": "732-679-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSDEN",
        "first_name": "CAVAN",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "12832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica J Brewer, PA
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• Brighter Health LLC
• Andrea Brognano
• Rachel Hannah Bruncati, LAMFT
• Carolyn Pierce Buckelew, RN APNC
• Irina Budinich, NP
• Josephine Campagnuolo, DO
• Angela Candelaria, FNP
• Lauren Capalbo

• Pediatric Dentistry in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.