Jorge L Pantoja, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058516 Issued in NY

Practice address

86 W 183Rd St
Dental Office
Bronx, NY 10453-1212

Phone

(718) 367-4222

NPI assigned

Apr 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• E-Z Dental Care P.C.

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1770728248
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1750776928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E MOSHOLU PKWY S APT 7B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581182",
            "telephone_number": "787-453-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 W 183RD ST",
            "address_2": "DENTAL OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531212",
            "telephone_number": "718-367-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Pannell
• Emily Caroline Panner
• Albert A Panozzo, MD
• Kisankumar Pansuriya
• Prashanta Raj Panta
• Jasmine Elizabeth Pantojas, SOCIAL WORKER
• Paula Ann Panton, LICENSED PRACTICAL N
• Katherine Anne Panushka
• Nicole Panzica
• John Panzone, D.O.

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.