Organization Active NPI

Octo-Dental PC

  • Dentist
  • Bronx, NY
National Provider Identifier
1366635229
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047116 Issued in NY
Legal business name
OCTO-DENTAL PC
Practice address
293 E 149TH St
Bronx, NY 10451-5601
Phone
(646) 404-5005
Fax
(646) 404-5006
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Vladimir Dranovsky
Title
DDS
Phone
(917) 734-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047116 NY Primary

Addresses

Primary practice location

293 E 149TH St
Bronx, NY 10451-5601

Mailing address

293 E 149TH St
Bronx, NY 10451-5601
Phone (646) 404-5005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1366635229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515601",
            "telephone_number": "646-404-5005",
            "fax_number": "646-404-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515601",
            "telephone_number": "646-404-5005",
            "fax_number": "646-404-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTO-DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "DRANOVSKY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "917-734-9555"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.