Lisa Delucia Bruno, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

055071 Issued in NY

Practice address

1110 Crosspointe LN Ste D
Webster, NY 14580-2968

Phone

(585) 872-0150

Fax

(585) 872-6183

NPI assigned

Jul 1, 2008

Last updated

Jul 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Lisa M Delucia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldelucia74202@direct.urmc.rochester.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa Delucia Bruno DDS PLLC

  • Pediatric Dentistry
  • Webster, NY
  • NPI 1255083846
  NPD Authorized official

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1740442672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CROSSPOINTE LN STE D",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802968",
            "telephone_number": "585-872-0150",
            "fax_number": "585-872-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CROSSPOINTE LN STE D",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802968",
            "telephone_number": "585-872-0150",
            "fax_number": "585-872-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "LISA",
        "middle_name": "DELUCIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "10032",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DELUCIA",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Coriale Brinkerhoff
• Tatyana Broshchak
• Angelette Brown
• Jinneffer Brown
• Anne Elizabeth Browne, LMT LICENSED MASSAGE
• Jennifer Lynn Bryan, RN
• Rachel Pauline Buczko, LPN
• Alf Hitel Bunes, DMD
• Haily N Buonomo, P.T., D.P.T.
• Claire E Burdett, PT, DPT

• Pediatric Dentistry in Webster, NY
• Providers in Webster, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.