Bruce A Birchenough, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045038-1 Issued in NY

Practice address

51 State St
Seneca Falls, NY 13148-1461

Phone

(315) 568-2934

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508951823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATE ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481461",
            "telephone_number": "315-568-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCHENOUGH",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045038-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Baker, RN, CMHN
• Jennifer L Balliette, SLP
• Lewis Joseph Barbi, RPH
• William Barnett III, RPH
• Rebecca Bauer, DC
• Gregory Blanchard, DPT
• John Booth III, D.C.
• Christopher Borgerding, D.C., D.A.C.B.R.
• Elod Tibor Boromisza, D.C. PROGRAM NYCC
• Anne Bougie

• General Practice Dentistry in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.