Individual provider Active NPI

Alf Hitel Bunes, DMD

  • Endodontics
  • Webster, NY
National Provider Identifier
1114494911
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
060183 Issued in NY
Practice address
900 Starboard Side LN Apt 306
Webster, NY 14580-2288
Phone
(267) 928-5414
NPI assigned
Oct 30, 2018
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 060183 NY Primary

Addresses

Primary practice location

900 Starboard Side LN Apt 306
Webster, NY 14580-2288

Mailing address

900 Starboard Side LN Apt 306
Webster, NY 14580-2288
Phone (267) 928-5414

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
I20211218000075 NY Order and Referring Only - DentistPractitioner - Dentist 5092106484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060183NYMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1114494911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STARBOARD SIDE LN APT 306",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802288",
            "telephone_number": "267-928-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STARBOARD SIDE LN APT 306",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802288",
            "telephone_number": "267-928-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNES",
        "first_name": "ALF",
        "middle_name": "HITEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "060183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.