Brian Bonczek DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN BONCZEK DMD LLC

Practice address

3392 Saxonburg Blvd Ste 440
Glenshaw, PA 15116-3148

Phone

(412) 767-4403

NPI assigned

Dec 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brian Bonczek, DMD

Title

Dentist

Phone

(412) 913-9550

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576972800000",
    "number": "1336788389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 POCONO ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181114",
            "telephone_number": "412-913-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 SAXONBURG BLVD STE 440",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163148",
            "telephone_number": "412-767-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BONCZEK DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-22",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A",
        "authorized_official_last_name": "BONCZEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "412-913-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Booz
• Mary Margaret Bortnyik
• Catherine Elizabeth Bour-Zalakar, M.S., CCC-SLP
• Kyra Bradley
• Brandi Brendle, OTR/L
• Aurora Brown
• Melanie S Bryant
• Jennifer Sue Buchinsky
• Alyssa Burdett
• Brooke Burfield

• All providers in Glenshaw, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2019; 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.