Jeffrey J Brink, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018869 Issued in MI

Practice address

7305 E M 36
Suite a
Whitmore Lake, MI 48189-8902

Phone

(810) 231-2288

NPI assigned

Oct 12, 2006

Last updated

Nov 4, 2016By 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 MI

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.

• Lakeview Dental Care

  • Dental Clinic/Center
  • Whitmore Lake, MI
  • NPI 1518584564
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1952490310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 E M 36",
            "address_2": "SUITE A",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481898902",
            "telephone_number": "810-231-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 E M 36",
            "address_2": "SUITE A",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481898902",
            "telephone_number": "810-231-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Beckermeyer, LMSW
• Heather Christian Bergquist, M.A., CCC-SLP
• Kris Blackwell
• Denise Bluhm-Heise, R.PH.
• Amy Ann Bogetto-Weinraub, MM,MT-BC
• Shelley Brown, OT, CLT
• Kimberly Buday, D.O., M.P.H.
• Leland Campbell
• Mengyuan Che
• Kristen Marie Churches, OTR

• General Practice Dentistry in Whitmore Lake, MI
• Providers in Whitmore Lake, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.