Organization Active NPI

Bracetown Orthodontics, LLP

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Astoria, NY
National Provider Identifier
1164767703
Registry record updated Dec 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
34366 Issued in NY
Legal business name
BRACETOWN ORTHODONTICS, LLP
Practice address
3119 Newtown Ave
Astoria, NY 11102-1350
Phone
(718) 406-6229
NPI assigned
Dec 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2012

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

Authorized official

Name
Dr. Scott Friedman, DDS
Title
Partner
Phone
(718) 406-6229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 34366 NY Primary

Addresses

Primary practice location

3119 Newtown Ave
Astoria, NY 11102-1350

Mailing address

3119 Newtown Ave
Astoria, NY 11102-1350
Phone (718) 406-6229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355011200000",
    "number": "1164767703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 NEWTOWN AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021350",
            "telephone_number": "718-406-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 NEWTOWN AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021350",
            "telephone_number": "718-406-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACETOWN ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-09",
        "last_updated": "2012-12-09",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-406-6229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "34366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; 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.