NPIMap

Organization Active NPI

DRS. Bush, Tandy, and Korus

  • General Practice Dentistry
  • Vernon, CT
National Provider Identifier
1437171378
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5632 Issued in CT
Legal business name
DRS. BUSH, TANDY, AND KORUS
Practice address
281 Hartford Tpke
Vernon, CT 06066-4784
Phone
(860) 875-2881
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Jay Tandy, D.M.D.
Title
Secretary
Phone
(860) 875-2881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5632 CT Primary

Addresses

Primary practice location

281 Hartford Tpke
Vernon, CT 06066-4784

Mailing address

281 Hartford Tpke
Vernon, CT 06066-4784
Phone (860) 875-2881

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437171378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-875-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-875-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BUSH, TANDY, AND KORUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANDY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "860-875-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.