Active NPI
Bright Smiles Dental Services DMD LLC
- General Practice Dentistry
- Ponce, PR
National Provider Identifier
1154093904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BRIGHT SMILES DENTAL SERVICES DMD LLC
- Practice address
- 2053 Centro Caribe Ponce by Pass Suite 101
Ponce, PR 00717 - Phone
- (787) 812-1010
- NPI assigned
- Sep 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alejandro Mendez, DMD
- Title
- President
- Phone
- (787) 324-8281
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2053 Centro Caribe Ponce by Pass Suite 101
Ponce, PR 00717
Mailing address
Condominio Torres del Parque Apto 1502 Norte
Bayamon, PR 00956
Phone (787) 324-8281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211108000249 | PR | Part B Supplier - Clinic/Group Practice | 5698164986 |
Receives reassigned benefits from 1 practitioner Practice locations: Bayamon, PR |
National Provider Directory
National Provider DirectoryLocations
1875 Carr 2
Ste 202
Bayamon, PR 00959
2053 Ponce Byp
Ste 101
Ponce, PR 00717
Phone (787) 812-1010
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Ponce, PR
- NPI 1770630865
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1154093904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO TORRES DEL PARQUE APTO 1502 NORTE",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-324-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2053 CENTRO CARIBE PONCE BY PASS SUITE 101",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-812-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT SMILES DENTAL SERVICES DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-30",
"last_updated": "2024-03-06",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "ALEJANDRO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-324-8281",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.