Organization Active NPI

Bronx Community Dental, PLLC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1164859062
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044129 Issued in NY
Legal business name
BRONX COMMUNITY DENTAL, PLLC
Practice address
471 E Tremont Ave
Bronx, NY 10457-4401
Phone
(718) 294-1040
Fax
(718) 583-0446
NPI assigned
Oct 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Dr. Oleg Klempner, DDS
Title
Owner/Manager
Phone
(718) 294-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 044129 NY Primary

Addresses

Primary practice location

471 E Tremont Ave
Bronx, NY 10457-4401

Mailing address

471 E Tremont Ave
Bronx, NY 10457-4401
Phone (718) 294-1040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1164859062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574401",
            "telephone_number": "718-294-1040",
            "fax_number": "718-583-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574401",
            "telephone_number": "718-294-1040",
            "fax_number": "718-583-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX COMMUNITY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "KLEMPNER",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "718-294-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.