Brushin' on Belmont

Primary specialty

DentistTaxonomy code 122300000X

License

019026662 Issued in IL

Legal business name

BRUSHIN' ON BELMONT

Practice address

2007 W Belmont Ave
Chicago, IL 60618-6792

Phone

(773) 281-9800

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Robert Govoni, DDS

Title

Owner

Phone

(773) 281-9800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1952619355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186792",
            "telephone_number": "773-281-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSHIN' ON BELMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "GOVONI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-281-9800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026662",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021002151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Elizabeth Brunsvold, M.S. OTR/L
• Jason Roosevelt Brusa
• Peter Anthony Brusca, M.D.
• Brush Family Dentistry LLC
• David Randal Brush, MD
• Brynn Caroline Brusseau
• Amy Brussee, MS PA
• Michael Bruszer, PT
• Michelle Janette Bruszer, AU.D.
• Christopher Bruti, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.