Robert Busan DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROBERT BUSAN DDS, PLLC

Practice address

4035 Morsay Dr Ste 1
Rockford, IL 61107-4875

Phone

(815) 398-1376

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bogdan Robert Busan, DDSNPI 1285951004

Title

Owner

Phone

(949) 285-3147

Specialties & licenses 1

Addresses

Other names 1

• Advanced Periodontics and Implant Specialists Doing business as

Locations

Practitioners 1

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

• Bogdan Robert Busan, DDS

  • Dentist
  • Rockford, IL
  • NPI 1285951004
  NPD Authorized official

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1932666922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 MORSAY DR STE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074875",
            "telephone_number": "815-398-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 MORSAY DR STE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074875",
            "telephone_number": "815-398-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BUSAN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "BUSAN",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-285-3147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Periodontics and Implant Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Periodontics and Implant Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syed Muhammad Murtaza Zam Rizvi, MD
• RMH Pathologists, LTD
• Rna of Rockford, PLLC
• Joshua Paul Roach, D.O.
• Violet Roberson, DO
• Sally Ann Roberts
• Michael Robertson, MD
• Sarah Elaine Robertson, MD
• Elisha Jamyce Robinson, MD
• Mark Robert Robinson, ATC, CSCS

• Dental Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.