Organization Active NPI

Andrew R. Bruening DDS, LLC

  • General Practice Dentistry
  • Chesterfield, MO
National Provider Identifier
1962890319
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2014016766 Issued in MO
Legal business name
ANDREW R. BRUENING DDS, LLC
Practice address
130 Hilltown Village Ctr
Chesterfield, MO 63017-0709
Phone
(636) 532-3311
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. Andrew R. Bruening, D.D.S.NPI 1083027379
Title
Dentist
Phone
(636) 532-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2014016766 MO Primary

Addresses

Primary practice location

130 Hilltown Village Ctr
Chesterfield, MO 63017-0709

Mailing address

130 Hilltown Village Ctr
Chesterfield, MO 63017-0709
Phone (636) 532-3311

Other names 1

  • Chesterfield Hilltown Dental Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1962890319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLTOWN VILLAGE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170709",
            "telephone_number": "636-532-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLTOWN VILLAGE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170709",
            "telephone_number": "636-532-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW R. BRUENING DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "BRUENING",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "636-532-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014016766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterfield Hilltown Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.