Organization Active NPI

Bryan M. Kasperowski DMD LLC

  • General Practice Dentistry
  • Westfield, MA
National Provider Identifier
1467522011
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13186 Issued in MA
Legal business name
BRYAN M. KASPEROWSKI DMD LLC
Practice address
79 Broad St
Westfield, MA 01085-2925
Phone
(413) 562-5494
Fax
(413) 568-5597
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Bryan M Kasperowski, DMDNPI 1720003072
Title
Owner
Phone
(413) 562-5494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13186 MA Primary

Addresses

Primary practice location

79 Broad St
Westfield, MA 01085-2925

Mailing address

79 Broad St
Westfield, MA 01085-2925
Phone (413) 562-5494

National Provider Directory

National Provider Directory

Locations

79 Broad St
Westfield, MA 01085
Phone (413) 420-2222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1467522011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BROAD ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010852925",
            "telephone_number": "413-562-5494",
            "fax_number": "413-568-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BROAD ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010852925",
            "telephone_number": "413-562-5494",
            "fax_number": "413-568-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN M. KASPEROWSKI DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "KASPEROWSKI",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-562-5494",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.