Willis Dental Care, P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048493 Issued in NY

Legal business name

WILLIS DENTAL CARE, P.L.L.C.

Practice address

237 Willis Ave
Bronx, NY 10454-2678

Phone

(718) 292-6311

Fax

(718) 401-6875

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Musheyev, D.D.SNPI 1093939365

Title

Dentist

Phone

(718) 292-6311

Specialties & licenses 1

Addresses

Other names 1

• A&B Scarsdale Dental Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Musheyev, DDS

  • Dentist
  • Bronx, NY
  • NPI 1093939365
  Medicare reassignment NPD Authorized official
• Boris Katayev, DDS

  • Dentist
  • Scarsdale, NY
  • NPI 1144356247
  Medicare reassignment NPD

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1184896607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542678",
            "telephone_number": "718-292-6311",
            "fax_number": "718-401-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542678",
            "telephone_number": "718-292-6311",
            "fax_number": "718-401-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS DENTAL CARE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MUSHEYEV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-292-6311",
        "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": "NY",
            "license": "048493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A&B Scarsdale Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shauna Williamson
• Chanae Paris Willingham, RN
• Willis 146 Pharmacy Inc
• Willis Ave Drugs Inc
• Willis Care Pharmacy Inc
• Willis Star Pharmacy Inc.
• Aaliyah Willis, LMSW
• Adrienne Christina Willis, LMT
• Crystal Willis
• Frederick Willis

• 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 25, 2008; 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.

Verify at the official NPI Registry.