Advanced Bronx Dental PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ADVANCED BRONX DENTAL PLLC

Practice address

237 Willis Ave
Bronx, NY 10454-2678

Phone

(718) 292-6209

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Musheyev

Title

Director

Phone

(718) 292-6209

Specialties & licenses 2

Addresses

Other names 1

• Advanced Bronx Oral Surgery Doing business as

Practitioners 1

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

• Atousa Farahani, D.D.S.

  • Pediatric Dentistry
  • Chino Hills, CA
  • NPI 1649615030
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1497038608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542678",
            "telephone_number": "718-292-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542678",
            "telephone_number": "718-292-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BRONX DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "MUSHEYEV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-292-6209",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Bronx Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christiana A Adutwum
• Advance Health RX Inc
• Advance Primary Specialty Care
• Advanced Access Medical Care, PLLC
• Advanced Adult Health NP, PC.
• Advanced Chiropractic of Pelham Bay P.C.
• Advanced Dermatology of Coop City PC
• Advanced Dermatology of New York PC
• Advanced Dermatology of New York PC
• Advanced Dermatology of New York, P.C.

• Oral and Maxillofacial Surgery (Dentist) in Bronx, NY
• Providers in Bronx, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.