NPIMap

Organization Active NPI

B&B Dental,PC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1063557197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
B&B DENTAL,PC
Practice address
910 Grand Concourse
Bronx, NY 10451-2719
Phone
(718) 538-2410
Fax
(718) 293-2928
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane Bertuzzi
Title
Practice Manager
Phone
(845) 304-6110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

910 Grand Concourse
Bronx, NY 10451-2719

Mailing address

910 Grand Concourse
Bronx, NY 10451-2719
Phone (718) 538-2410

National Provider Directory

National Provider Directory

Locations

910 Grand Concourse
Bronx, NY 10451
Phone (718) 538-2400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063557197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512719",
            "telephone_number": "718-538-2410",
            "fax_number": "718-293-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512719",
            "telephone_number": "718-538-2410",
            "fax_number": "718-293-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B DENTAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTUZZI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "845-304-6110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.