Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205313301 Deactivated / Inactive NPI Male Practitioner

Dr. Erik Byron Bruun , DMD

Dentist - General Practice • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Erik Bruun has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2018
NPI Deactivation Date July 17, 2020
Total Practice Duration ~2 Years of Practice (2018 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Erik Bruun, DMD was a registered Dentist - General Practice practicing in Riverside, CA. Throughout an active medical career spanning 2 years, Dr. Bruun provided care at the practice location at 3602 RIVERSIDE PLAZA DR STE 101 until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

3602 Riverside Plaza Dr Ste 101

Riverside, CA 925062726

Telephone 9512289576
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
186 Specialists

Practicing in Riverside, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 102843

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Christina Bui

Dentist - General Practice

NPI 1831652197
Celina Kim

Dentist - General Practice

NPI 1952071292

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active July 23, 2018

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2018

Registered at 3602 RIVERSIDE PLAZA DR STE 101, RIVERSIDE, CA 925062726 (Tel: 9512289576)

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Updated Business Mailing Address July 23, 2018

Registered at 16585 CHINA BERRY CT, CHINO HILLS, CA 917096390 (Tel: 8013676879)

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Provider Name / Credentials Updated July 23, 2018

Recorded as ERIK BRUUN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2018

Dentist (License #102843 in CA)

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Initial NPI Registration & Enumeration July 23, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205313301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2018
Last Update: July 23, 2018
Deactivation Date: July 17, 2020

Mailing Address

16585 China Berry Ct

Chino Hills, CA 917096390

Phone: 8013676879

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.