Elias Altagracia Pimentel, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053250-1 Issued in NY

Practice address

1600 Macombs Rd
Bronx, NY 10452-2016

Phone

(718) 466-8800

Fax

(718) 466-8870

NPI assigned

Jul 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Solutions Kids

  • Pediatric Dentistry
  • Norwalk, CT
  • NPI 1275278467
  NPD Authorized official

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1295925055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 WALLACE AVE.",
            "address_2": "APT 6H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621855",
            "telephone_number": "718-792-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MACOMBS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522016",
            "telephone_number": "718-466-8800",
            "fax_number": "718-466-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "ELIAS",
        "middle_name": "ALTAGRACIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053250-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02824371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayda L. Pillot, NP
• Daniel Robert Pilosov, DO
• Donna Piluso
• Ana Silveria Pimentel Paniagua, BA
• Anthony J Pimentel
• Jaleesa Lynne Pimentel
• Jennifer Pimentel
• Jonathan Matthew Pimentel, OTR/L
• Joshua Pimentel
• Shantelle Pimentel

• 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 Jul 27, 2007; 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.