NPIMap

Organization Active NPI

Lisa Delucia Bruno DDS PLLC

  • Pediatric Dentistry
  • Webster, NY
National Provider Identifier
1255083846
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LISA DELUCIA BRUNO DDS PLLC
Practice address
39 W Main St
Webster, NY 14580-2933
Phone
(585) 872-0150
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Dr. Lisa Delucia Bruno, DDSNPI 1740442672
Title
Owner
Phone
(585) 506-7085

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

39 W Main St
Webster, NY 14580-2933

Mailing address

39 W Main St
Webster, NY 14580-2933
Phone (585) 872-0150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1255083846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802933",
            "telephone_number": "585-872-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802933",
            "telephone_number": "585-872-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA DELUCIA BRUNO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DELUCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-506-7085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.