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BRIAN JOSEPH PUTMAN D.D.S.
NPI 1609139302
Dentist in Ithaca, MI

Active since June 19, 2012Opted out of Medicare · through Nov 13, 2027
610 N. PINE RIVER ST., ITHACA, MI 48847(989) 875-2888(989) 875-4604 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brian Joseph Putman D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN JOSEPH PUTMAN D.D.S. (NPI 1609139302) is an individual dentist in Ithaca, Michigan, licensed in Michigan (2901021388) and active in the NPI registry since June 2012. He has opted out of Medicare through November 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609139302
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRIAN JOSEPH PUTMANCredential: D.D.S.
Location Address610 N. PINE RIVER ST.Ithaca, MI 48847
Mailing Address610 N. Pine River St.Ithaca, MI 48847 · (989) 875-2888 · Fax (989) 875-4604
Phone(989) 875-2888
Fax(989) 875-4604
Sole ProprietorYes
Enumeration DateJune 19, 2012
Last NPPES UpdateDecember 15, 2015
✔ NPI 1609139302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MI · 2901021388✔ Licensed in OH · 30-023756
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
610 N. PINE RIVER ST., Ithaca, MI 48847
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Brian Joseph Putman D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2015 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2015
Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48847 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Putman's NPI number?

The NPI number for Brian Putman is 1609139302. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Brian Putman located?

Brian Putman practices at 610 N. Pine River St., Ithaca, MI 48847. The listed phone number is (989) 875-2888.

What is Brian Putman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brian Putman enrolled in Medicare?

No. Brian Putman has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brian Putman was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.