Bradford J Pinkos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11546 Issued in CT

Practice address

29 Planz LN
Bridgewater, CT 06752-1235

Phone

(860) 799-6996

NPI assigned

Jun 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bradford J. Pinkos, DMD, LLC

  • General Practice Dentistry
  • Bridgewater, CT
  • NPI 1063869162

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489276800000",
    "number": "1457513632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SAXONY LN",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982534",
            "telephone_number": "203-733-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANZ LN",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067521235",
            "telephone_number": "860-799-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKOS",
        "first_name": "BRADFORD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2017-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22157",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Rebecca Lucian, LMFT
• Dawn M Macnutt, MSW LCSW
• Maggie Lucian, LMFT, LLC
• Luke George Mihaylo Jr., LCSW LADC
• Vincent F Miscia, MD
• Frederick Frazier Planz, DMD
• Rudolph J Simari Jr.
• The Bridgewater Fire Department Incorporated

• All providers in Bridgewater, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.