Organization Active NPI

Comprehensive Dentistry PC

  • Dentist
  • Melville, NY
National Provider Identifier
1356766570
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0436971 Issued in NY
Legal business name
COMPREHENSIVE DENTISTRY PC
Practice address
425 Broadhollow Rd
Suite 118
Melville, NY 11747-4713
Phone
(631) 752-2929
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Faina Bram
Title
Dentist
Phone
(631) 752-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0436971 NY Primary

Addresses

Primary practice location

425 Broadhollow Rd
Suite 118
Melville, NY 11747-4713

Mailing address

425 Broadhollow Rd
Suite 118
Melville, NY 11747-4713
Phone (631) 752-2929

National Provider Directory

National Provider Directory

Locations

425 Broadhollow Rd
Ste 118
Melville, NY 11747
Phone (631) 752-2929

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1356766570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADHOLLOW RD",
            "address_2": "SUITE 118",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474713",
            "telephone_number": "631-752-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROADHOLLOW RD",
            "address_2": "SUITE 118",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474713",
            "telephone_number": "631-752-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "BRAM",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-752-2929"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0436971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.