Cristian Ricardo Craciun Brutten, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901022787 Issued in MI

Practice address

2380 Health Dr SW Ste 230
Wyoming, MI 49519-9702

Phone

(616) 341-7701

Fax

(844) 689-1183

NPI assigned

Jun 29, 2009

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cbmi2 PLLC

  • Pediatric Dentistry
  • Portage, MI
  • NPI 1205693181
  NPD
• Dock Dental Kalamazoo PLLC

  dba Smiles 2 Be

  • Pediatric Dentistry
  • Wyoming, MI
  • NPI 1184330201
  NPD
• Walker Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Walker, MI
  • NPI 1679612253
  NPD

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1689802613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 LIONEL DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157996",
            "telephone_number": "860-977-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 HEALTH DR SW STE 230",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199702",
            "telephone_number": "616-341-7701",
            "fax_number": "844-689-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTTEN",
        "first_name": "CRISTIAN",
        "middle_name": "RICARDO CRACIUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11120",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901022787",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "390200000X: STUDENT IN AN ORGANIZED HEALTH CARE/EDUCATION/TRAINING PROGRAM",
            "identifier": "AJ6217461",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Brown, MS, RD
• Vicki Brown
• Linda S Bruinsma, DC
• Debra Brule
• Nicole Y Brummel, LLPC
• Gail K Bryan-Besteman, M.D.
• David Bryska, MD
• Olivia Buckley
• Erik Budz, PA-C
• Kevin W Bueckman, D.C.

• Pediatric Dentistry in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.