NPIMap

Organization Active NPI

Mark M. Bornstein, DDS, PLLC

  • Dentist
  • Cedarhurst, NY
National Provider Identifier
1306201462
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052254 Issued in NY
Legal business name
MARK M. BORNSTEIN, DDS, PLLC
Practice address
145 Maple Ave
Cedarhurst, NY 11516-2225
Phone
(516) 295-0081
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Mark M Bornstein
Title
Owner
Phone
(516) 295-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052254 NY Primary

Addresses

Primary practice location

145 Maple Ave
Cedarhurst, NY 11516-2225

Mailing address

145 Maple Ave
Cedarhurst, NY 11516-2225
Phone (516) 295-0081

Other names 1

  • Born to Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

145 Maple Ave
Cedarhurst, NY 11516
Phone (516) 295-0081

Practitioners & affiliated clinicians

Practitioners 2

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1306201462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAPLE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162225",
            "telephone_number": "516-295-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAPLE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162225",
            "telephone_number": "516-295-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M. BORNSTEIN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-295-0081"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Born to Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.