NPIMap

Organization Active NPI

Optimum Dental Care, LLC

  • Dental Clinic/Center
  • Bronx, NY
National Provider Identifier
1730440587
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
055124 Issued in NY
Legal business name
OPTIMUM DENTAL CARE, LLC
Practice address
3370 Baychester Ave
Bronx, NY 10475-1565
Phone
(718) 671-2826
Fax
(718) 671-2824
NPI assigned
Jun 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Catrina Middleton
Title
Biller
Phone
(718) 671-2826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 052905 NY
Dental Clinic/Center 261QD0000X 055124 NY Primary

Addresses

Primary practice location

3370 Baychester Ave
Bronx, NY 10475-1565

Mailing address

3370 Baychester Ave
Bronx, NY 10475-1565
Phone (718) 671-2826

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1730440587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751565",
            "telephone_number": "718-671-2826",
            "fax_number": "718-671-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751565",
            "telephone_number": "718-671-2826",
            "fax_number": "718-671-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "718-671-2826"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "052905",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "055124",
            "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 Jun 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.

Verify at the official NPI Registry.