Active NPI
Octo-Dental PC
- Dentist
- Bronx, NY
National Provider Identifier
1366635229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 047116
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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.