Active NPI
Ron Brunick DDS,Inc.
- General Practice Dentistry
- San Luis Obispo, CA
National Provider Identifier
1659499481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26302
- Legal business name
- RON BRUNICK DDS,INC.
- Practice address
- 956 Walnut St
Suite 300
San Luis Obispo, CA 93401-1707 - Phone
- (805) 544-1941
- Fax
- (805) 544-4727
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ron Brunick
- Title
- Owner
- Phone
- (805) 544-1941
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26302 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 49202 | CA |
Addresses
Primary practice location
956 Walnut St
Suite 300
San Luis Obispo, CA 93401-1707
Mailing address
956 Walnut St
Suite 300
San Luis Obispo, CA 93401-1707
Phone (805) 544-1941
National Provider Directory
National Provider DirectoryLocations
956 Walnut St
Ste 300
San Luis Obispo, CA 93401
Phone (805) 544-1941
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Luis Obispo, CA
- NPI 1376661629
-
- General Practice Dentistry
- San Luis Obispo, CA
- NPI 1427669142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659499481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 WALNUT ST",
"address_2": "SUITE 300",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934011707",
"telephone_number": "805-544-1941",
"fax_number": "805-544-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 WALNUT ST",
"address_2": "SUITE 300",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934011707",
"telephone_number": "805-544-1941",
"fax_number": "805-544-4727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RON BRUNICK DDS,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRUNICK",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-544-1941",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "26302",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.