Organization Active NPI

Bruni Dental, PLLC

Doing business as Waveland Dental Center

  • Dental Clinic/Center
  • Waveland, MS
National Provider Identifier
1649971896
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRUNI DENTAL, PLLC
Doing business as
Waveland Dental Center
Practice address
110 Auderer Blvd
Waveland, MS 39576-2432
Phone
(228) 270-0044
Fax
(228) 270-0047
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Catherine Bruni, DMDNPI 1316676257
Title
Dentist
Phone
(228) 270-0044

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

110 Auderer Blvd
Waveland, MS 39576-2432

Mailing address

110 Auderer Blvd
Waveland, MS 39576-2432
Phone (228) 270-0044

Other names 1

  • Waveland Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

110 Auderer Blvd
Waveland, MS 39576
Phone (228) 270-0044

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.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1649971896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 AUDERER BLVD",
            "city": "WAVELAND",
            "state": "MS",
            "postal_code": "395762432",
            "telephone_number": "228-270-0044",
            "fax_number": "228-270-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AUDERER BLVD",
            "city": "WAVELAND",
            "state": "MS",
            "postal_code": "395762432",
            "telephone_number": "228-270-0044",
            "fax_number": "228-270-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNI DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "BRUNI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "228-270-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waveland Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.