Active NPI
Erica Beth Bronitsky, DMD
- General Practice Dentistry
- Aloha, OR
National Provider Identifier
1710133822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D9138
- Practice address
- 17952 SW Blanton St
Aloha, OR 97078-1329 - Phone
- (503) 649-5665
- Fax
- (503) 649-6857
- NPI assigned
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D9138 | OR | Primary |
Addresses
Primary practice location
17952 SW Blanton St
Aloha, OR 97078-1329
Mailing address
17952 SW Blanton St
Aloha, OR 97078-1329
Phone (503) 649-5665
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9138 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erica Bronitsky, DMD, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1710133822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17952 SW BLANTON ST",
"city": "ALOHA",
"state": "OR",
"postal_code": "970781329",
"telephone_number": "503-649-5665",
"fax_number": "503-649-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17952 SW BLANTON ST",
"city": "ALOHA",
"state": "OR",
"postal_code": "970781329",
"telephone_number": "503-649-5665",
"fax_number": "503-649-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONITSKY",
"first_name": "ERICA",
"middle_name": "BETH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D9138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.