Erica Bronitsky, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9138 Issued in OR

Legal business name

ERICA BRONITSKY, DMD, LLC

Doing business as

Bronitsky Family Dentistry

Practice address

17952 SW Blanton St
Aloha, OR 97007-1329

Phone

(503) 649-5665

Fax

(503) 649-6857

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica B Bronitsky, DMD, LLCNPI 1710133822

Title

Sole Member

Phone

(503) 649-5665

Specialties & licenses 1

Addresses

Other names 1

• Bronitsky Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Beth Bronitsky, DMD

  • General Practice Dentistry
  • Aloha, OR
  • NPI 1710133822
  NPD (past) Authorized official
• Darryl D Farley, D.M.D., P.C.

  • General Practice Dentistry
  • Aloha, OR
  • NPI 1972501104
  NPD (past)

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1760807309",
    "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": "970071329",
            "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": "970071329",
            "telephone_number": "503-649-5665",
            "fax_number": "503-649-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA BRONITSKY, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BRONITSKY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-649-5665",
        "authorized_official_credential": "DMD, LLC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronitsky Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dynamic Core Care LLC
• Zachary Edmund
• Jakson Nicholas Edward
• Devon Ehrenberg, LMT
• Arlynn Ekis
• Ernest R Thompson DMD PC
• TJ Ernst
• Jimmie Don Erwin III, CNAII
• Brianna D Evans
• Ingrid Evjen-Elias

• General Practice Dentistry in Aloha, OR
• Providers in Aloha, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.