Active NPI
Domenick F. D'Angelica
- Dentist
- Bronx, NY
National Provider Identifier
1740438787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23148
- Legal business name
- DOMENICK F. D'ANGELICA
- Practice address
- 1425 E Gun Hill Rd
Bronx, NY 10469-3066 - Phone
- (718) 671-0480
- NPI assigned
- Sep 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Domenick F D'Angelica, DDS
- Title
- Owner
- Phone
- (718) 671-0480
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23148 | NY | Primary |
Addresses
Primary practice location
1425 E Gun Hill Rd
Bronx, NY 10469-3066
Mailing address
1425 E Gun Hill Rd
Bronx, NY 10469-3066
Phone (718) 671-0480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01005141 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bronx, NY
- NPI 1659451540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1740438787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 E GUN HILL RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104693066",
"telephone_number": "718-671-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 E GUN HILL RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104693066",
"telephone_number": "718-671-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMENICK F. D'ANGELICA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "D'ANGELICA",
"authorized_official_first_name": "DOMENICK",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-671-0480",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "23148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01005141",
"state": "NY"
}
],
"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 Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.