Bernabe General Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043696 Issued in NY

Legal business name

BERNABE GENERAL DENTISTRY PC

Practice address

1916 Grand Concourse
Suite 1a
Bronx, NY 10457-5201

Phone

(718) 716-1400

Fax

(718) 716-7025

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Hector Bolivar Bernabe, D.D.S.

Title

Dentist/President

Phone

(718) 716-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1366601189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 GRAND CONCOURSE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575201",
            "telephone_number": "718-716-1400",
            "fax_number": "718-716-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 GRAND CONCOURSE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575201",
            "telephone_number": "718-716-1400",
            "fax_number": "718-716-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNABE GENERAL DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "BERNABE",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "BOLIVAR",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "718-716-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsie Yamile Bermudez Pouchard, MD
• Angel Joshua Bermudez, HIGH SCHOOL DIPLOMA
• Aramis Antonio Bermudez, D.O.
• Joanna Bermudez
• Rachel I Bermudez, MD
• Carolina De Las Mercedes Bernabe Ramirez, MD
• Hector Bolivar Bernabe, DDS
• Hector Christian Bernabe, RDH
• Maria Bernabe, RN
• Eduardo D Bernales, MD

• 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 Jun 6, 2008; 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.