Individual provider Active NPI

Robert Allan Bronecki, D.D.S.

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1356592349
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1898 Issued in MT
Practice address
926 Main St Ste 23
Billings, MT 59105-3359
Phone
(406) 252-1852
Fax
(406) 259-2082
NPI assigned
Oct 8, 2008
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1898 MT Primary

Addresses

Primary practice location

926 Main St Ste 23
Billings, MT 59105-3359

Mailing address

PO Box 20161
Billings, MT 59104-0161
Phone (406) 699-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1898MTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rab Dental LLC General Practice Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1356592349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20161",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591040161",
            "telephone_number": "406-699-1992",
            "fax_number": "406-259-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST STE 23",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053359",
            "telephone_number": "406-252-1852",
            "fax_number": "406-259-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONECKI",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.