Active NPI
Diana Vanessa Bernal-Munoz
- Dental Hygienist
- Long Island City, NY
National Provider Identifier
1508686437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 007074
- Practice address
- 2101 41St Ave
Long Island City, NY 11101-4801 - Phone
- (718) 784-2240
- Fax
- (914) 471-8022
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 007074 | NY | Primary |
Addresses
Primary practice location
2101 41St Ave
Long Island City, NY 11101-4801
Mailing address
14639 14TH Ave Apt B3
Whitestone, NY 11357-2401
Phone (929) 316-1600
Other names 1
- Diana Vanessa Bernal-Munoz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007074 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1508686437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14639 14TH AVE APT B3",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113572401",
"telephone_number": "929-316-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 41ST AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014801",
"telephone_number": "718-784-2240",
"fax_number": "914-471-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL-MUNOZ",
"first_name": "DIANA",
"middle_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "007074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "BERNAL-MUNOZ",
"middle_name": "VANESSA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.