Daniel Brystowski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901600190 Issued in MI

Practice address

650 E Big Beaver Rd Ste D
Troy, MI 48083-1432

Phone

(248) 528-2270

NPI assigned

Jul 17, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kelly M. Giera, D.D.S., P.C.

  • Dentist
  • Troy, MI
  • NPI 1912241795
  NPD (past)
• Mosaic Dental Wellness PLLC

  • Dental Clinic/Center
  • Troy, MI
  • NPI 1376472076
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1801449079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23015 BELLWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342036",
            "telephone_number": "248-219-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E BIG BEAVER RD STE D",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831432",
            "telephone_number": "248-528-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSTOWSKI",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brush Neuropsychology Services, PLLC
• David Matthew Brush, PHD
• Jordan Bethany Brush, MS
• Melanie Elizabeth Bruss, MA, LPC
• Cynthia Ann Bryla, O.D.
• John Thomas Buchanan-Fink
• Deanna Buchanan
• Ronald Lawrence Budnick Jr., DDS
• Kayla Buffington
• Ryan Bugni, PTA

• Dentist in Troy, MI
• Providers in Troy, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.