NPIMap

Organization Active NPI

Bonita Sonrisa Dental Ipa

  • Public Health Dentistry
  • Bronx, NY
National Provider Identifier
1700343233
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
BONITA SONRISA DENTAL IPA
Practice address
1624 Dr Martin L King Jr Blvd
Bronx, NY 10453-6948
Phone
(845) 793-4469
Fax
(718) 450-8991
NPI assigned
Feb 20, 2019
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Dr. Alejandro Williams, D.D.SNPI 1073502217
Title
President/Owner
Phone
(917) 335-3722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X NU Primary

Addresses

Primary practice location

1624 Dr Martin L King Jr Blvd
Bronx, NY 10453-6948

Mailing address

1624 University Ave BSMT
Bronx, NY 10453-6948
Phone (718) 294-3725

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1700343233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 UNIVERSITY AVE BSMT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536948",
            "telephone_number": "718-294-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 DR MARTIN L KING JR BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536948",
            "telephone_number": "845-793-4469",
            "fax_number": "718-450-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA SONRISA DENTAL IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "917-335-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "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, 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.