Active NPI
Bruno Monteiro
- Dental Hygienist
- Roxbury, MA
National Provider Identifier
1639428493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 520 Dudley St
Roxbury, MA 02119-2769 - Phone
- (617) 989-9499
- NPI assigned
- Sep 7, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Primary |
Addresses
Primary practice location
520 Dudley St
Roxbury, MA 02119-2769
Mailing address
1 Abbotsford St
Apt. #3
Boston, MA 02121-1409
Phone (617) 820-0326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097615 | Other | MA | BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1639428493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ABBOTSFORD ST",
"address_2": "APT. #3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021211409",
"telephone_number": "617-820-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 DUDLEY ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021192769",
"telephone_number": "617-989-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEIRO",
"first_name": "BRUNO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "097615",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.