Citywide Dental Family Practice, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CITYWIDE DENTAL FAMILY PRACTICE, PLLC

Practice address

384 E 149TH St
Suite 216
Bronx, NY 10455-3908

Phone

(718) 993-7788

NPI assigned

Mar 11, 2008

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janice L Perez, D.D.S.

Title

Ceo

Phone

(718) 993-7788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1093985624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 E 149TH ST",
            "address_2": "SUITE 216",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553908",
            "telephone_number": "718-993-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E 149TH ST",
            "address_2": "SUITE 216",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553908",
            "telephone_number": "718-993-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE DENTAL FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-993-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02363519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of New York Office of Payroll Administration (NYCDOH Morrisania Dist Ctr)
• City Pro Group Inc
• City Pro Group Inc
• City Pro Group Inc (Early Intervention Agency and CPSE)
• City-Wide Nueses Registry,Inc
• Citywide Mobile Response Corp
• Jennifer Lynn Ciuchta, DO
• Lori Ann Ciuffo
• Gheorghe Ciumpavu
• Corrado R Ciurleo, RPH

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.