Individual provider Active NPI

Bryan Francey, D.D.S.

  • General Practice Dentistry
  • Canton, NY
National Provider Identifier
1093879355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048838 Issued in NY
Practice address
22 Park St
Canton, NY 13617-1365
Phone
(315) 386-3886
Fax
(315) 386-1844
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048838 NY Primary

Addresses

Primary practice location

22 Park St
Canton, NY 13617-1365

Mailing address

22 Park St
Canton, NY 13617-1365
Phone (315) 386-3886

Other identifiers 1

IdentifierTypeStateIssuer
00570383MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160628001692 NY Order and Referring Only - DentistPractitioner - Dentist 7618268319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048838NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093879355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARK ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171365",
            "telephone_number": "315-386-3886",
            "fax_number": "315-386-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PARK ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171365",
            "telephone_number": "315-386-3886",
            "fax_number": "315-386-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCEY",
        "first_name": "BRYAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00570383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.