Ronni Dara Bruck, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS036769 Issued in PA

Practice address

403 Washington LN
Jenkintown, PA 19046-3123

Phone

(215) 576-5805

Fax

(215) 576-8998

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sethi Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jenkintown, PA
  • NPI 1437911492
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1033426507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 LOMBARD ST",
            "address_2": "APT 8A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464003",
            "telephone_number": "267-253-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON LN",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463123",
            "telephone_number": "215-576-5805",
            "fax_number": "215-576-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCK",
        "first_name": "RONNI",
        "middle_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS036769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Bromberg
• Abby Bronstein, MFT, LCSW
• Adam C Brooks, PH.D.
• Alissa Leigh Brown, PSY.D.
• Stephanie Rose Brown, MS, RD, LDN
• Brian Brune, DMD
• John Kenneth Brutas
• Jacqueline M Bucci, MSW, LSW
• Denise Bucich-Naylor, PH.D.
• Mark Bundschuh

• Orthodontics and Dentofacial Orthopedics Dentistry in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

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