Organization Active NPI

Bracetown Orthodontics,LLP

  • Dentist
  • Astoria, NY
National Provider Identifier
1588007140
Registry record updated Apr 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34366 Issued in NY
Legal business name
BRACETOWN ORTHODONTICS,LLP
Practice address
3119 Newtown Ave
Suite 201
Astoria, NY 11102-1350
Phone
(718) 721-5100
NPI assigned
Apr 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2013

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

Authorized official

Name
Scott Friedman, DDS
Title
Partner
Phone
(718) 721-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 34366 NY Primary

Addresses

Primary practice location

3119 Newtown Ave
Suite 201
Astoria, NY 11102-1350

Mailing address

3119 Newtown Ave
Suite 201
Astoria, NY 11102-1350
Phone (718) 721-5100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365897600000",
    "number": "1588007140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 NEWTOWN AVE",
            "address_2": "SUITE 201",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021350",
            "telephone_number": "718-721-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 NEWTOWN AVE",
            "address_2": "SUITE 201",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021350",
            "telephone_number": "718-721-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACETOWN ORTHODONTICS,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-14",
        "last_updated": "2013-04-14",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-721-5100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "34366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2013; 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.