Active NPI
Timothy Dean Brunson, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Escondido, CA
National Provider Identifier
1790930758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 54532
- Practice address
- 910 E Grand Ave Ste E
Escondido, CA 92025-3430 - Phone
- (760) 746-3450
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 54532 | CA | Primary |
Addresses
Primary practice location
910 E Grand Ave Ste E
Escondido, CA 92025-3430
Mailing address
910 E. Grand Ave. Suite E
Escondido, CA 90202
Phone (760) 746-3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54532 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin, Collins and Brunson, LLP | Current | Accepting new patients | |
| Franklin and Collins, LLP | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1910 W 35th St
Austin, TX 78703
Phone (512) 451-8310
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Smiles of Dripping Springs
- Pediatric Dentistry
- Dripping Springs, TX
- NPI 1124579420
Orthodontics and Dentofacial Orthopedics
-
dba Smiles of Austin
- Pediatric Dentistry
- Austin, TX
- NPI 1679797880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1790930758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 E. GRAND AVE. SUITE E",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "90202",
"telephone_number": "760-746-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E GRAND AVE STE E",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253430",
"telephone_number": "760-746-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSON",
"first_name": "TIMOTHY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "54532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.