Bushwick Orthodontic Studio

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BUSHWICK ORTHODONTIC STUDIO

Practice address

203 Irving Ave FL 1
Brooklyn, NY 11237-8077

Phone

(347) 382-6861

NPI assigned

Jul 15, 2024

Organization subpart

No

Name

Andres Gonzalez, DMDNPI 1740650340

Title

President

Phone

(347) 382-6861

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andres Gonzalez, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
  • NPI 1740650340
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2024.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1679310882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N HENRY ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225055",
            "telephone_number": "305-450-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 IRVING AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378077",
            "telephone_number": "347-382-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHWICK ORTHODONTIC STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-382-6861",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanislav Bushik, MD
• Matthew Bushman
• Bushwick Center for Renal Dialysis, LLC
• Bushwick Economic Development Corp
• Bushwick Medical of New York LLC
• Bushwick Orthodontics PLLC
• Bushwick Pharmacy, Inc.
• Bushwick Professional Medical Services of New York LLC
• Bushwick Quality Supplies LLC
• Bushwick Stuyvesant Heights Home Attendants, Inc.

• All providers in Brooklyn, NY
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.