Tompkins Bright Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056763 Issued in NY

Legal business name

TOMPKINS BRIGHT DENTAL PLLC

Practice address

2309 N Triphammer Rd
Ithaca, NY 14850-1060

Phone

(732) 458-6799

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By 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

Dr. Fanrui Zeng, DDSNPI 1508131228

Title

Dentist

Phone

(732) 458-6799

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Fanrui Zeng, DDS

  • General Practice Dentistry
  • Ithaca, NY
  • NPI 1508131228
  NPD (past) Authorized official

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1760935605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LAKE ST APT D4",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501060",
            "telephone_number": "732-458-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMPKINS BRIGHT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "ZENG",
        "authorized_official_first_name": "FANRUI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-458-6799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03749548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen S Tien, PHD
• Mary Tierney
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• Thomas M Toal, MD
• Paige McKenzie Tomberelli
• Tompkins Community Chiropractic, P.C.
• Tompkins Community Counseling, LCSW, PLLC
• Tompkins County (Tompkins County Health Department)
• Tompkins County
• Tompkins County (Tompkins County Mental Health Services)

• General Practice Dentistry in Ithaca, NY
• Providers in Ithaca, 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 Jul 27, 2016; 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.