Martin Winter Brunworth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2017017253 Issued in MO

Practice address

2 Wainwright St Ste 210
Washington, MO 63090-4507

Phone

(636) 392-6797

NPI assigned

Jun 14, 2017

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• River Willow Dental Center LLC

  • General Practice Dentistry
  • Washington, MO
  • NPI 1427857127
  NPD Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1730619453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WAINWRIGHT ST STE 210",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904507",
            "telephone_number": "636-392-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WAINWRIGHT ST STE 210",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904507",
            "telephone_number": "636-392-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNWORTH",
        "first_name": "MARTIN",
        "middle_name": "WINTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017017253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E. Bruce, OD
• Alicia Brueggemann, OT
• Stephen A Brunjes, OTR/L
• David Brunworth, MD
• Jessica Alanna Scully Brunworth, D.D.S., M.S.
• Laurie Elizabeth Bryson, LPC
• Jessica Buchman, D.O
• Sean Buechter
• Sheila Ann Buesking, FNP-C
• Kaitlyn Bumberry, DDS

• General Practice Dentistry in Washington, MO
• Providers in Washington, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.