Bespoke Dental Ny PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035174 Issued in NY

Legal business name

BESPOKE DENTAL NY PLLC

Practice address

145 W 57TH St FL 13
New York, NY 10019-2220

Phone

(212) 582-0123

NPI assigned

Jan 30, 2018

Last updated

Jan 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Schaefer

Title

Office Manager

Phone

(212) 582-0123

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Hulbrock, DDS

  • Dentist
  • New York, NY
  • NPI 1104931849
  NPD (past)
• Ronald I Maitland, D.M.D.

  • General Practice Dentistry
  • New York, NY
  • NPI 1083710388
  NPD (past)
• Michael Mohr, D.M.D

  • General Practice Dentistry
  • Williamstown, MA
  • NPI 1710360052
  NPD (past)

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1427556919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 57TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192220",
            "telephone_number": "212-582-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 57TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192220",
            "telephone_number": "212-582-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE DENTAL NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-582-0123"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Besharim
• John Joseph Beskid, LCSW
• Anna Beskin
• Anela Beskovic
• Kathryn Marie Besong, PT
• Bespoke Mental Health Counseling
• Bespoke Psychology Nyc
• Bespoke Surgical, PC
• Bespoke Treatments Physical Therapy PC
• Jamie L. Bessich, M.D.

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Jan 30, 2018; 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.