Active NPI
Lydra Tapija, DMD
- Dentist
- Bronx, NY
National Provider Identifier
1528208766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052547
- Practice address
- 2130 Williamsbridge Rd
Suite 1 H
Bronx, NY 10461-1619 - Phone
- (718) 792-1000
- Fax
- (718) 792-3672
- NPI assigned
- Feb 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 052547 | NY | Primary |
Addresses
Primary practice location
2130 Williamsbridge Rd
Suite 1 H
Bronx, NY 10461-1619
Mailing address
2130 Williamsbridge Rd
Suite 1 H
Bronx, NY 10461-1619
Phone (718) 792-1000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531001681 | NY | Order and Referring Only - Oral Surgery | 3072803279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052547 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235779200000",
"number": "1528208766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 WILLIAMSBRIDGE RD",
"address_2": "SUITE 1 H",
"city": "BRONX",
"state": "NY",
"postal_code": "104611619",
"telephone_number": "718-792-1000",
"fax_number": "718-792-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 WILLIAMSBRIDGE RD",
"address_2": "SUITE 1 H",
"city": "BRONX",
"state": "NY",
"postal_code": "104611619",
"telephone_number": "718-792-1000",
"fax_number": "718-792-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIJA",
"first_name": "LYDRA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-28",
"last_updated": "2009-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "052547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; 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.