Brush Dental South, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29515 Issued in TX

Legal business name

BRUSH DENTAL SOUTH, PC

Practice address

3715 S 1St St Ste B
Austin, TX 78704-8054

Phone

(512) 296-2841

NPI assigned

Aug 26, 2017

Organization subpart

No

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

Authorized official

Name

Viraj Patel

Title

Ceo

Phone

(512) 296-2841

Specialties & licenses 1

Addresses

Other names 1

• Swish Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Mariana Fernandez, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1730883810
  NPD

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912424367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 S 1ST ST STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048054",
            "telephone_number": "512-296-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 S 1ST ST STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048054",
            "telephone_number": "512-296-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH DENTAL SOUTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-26",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRAJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-296-2841"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swish Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffery Royce Brunson, DDS
• Camilla Bright Brusenhan
• Brush 32 Dental of Belterra, PLLC
• Brush Dental Domain PC
• Brush Dental Domain PC
• Robyn Brush, LAC
• Brush32 Dental of South Congress PLLC
• Brush32 Dental of South Lamar PLLC
• Brushy Creek Home Health Agency Inc
• Jennifer Nicole Brutsche, M.A., CCC-SLP

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.