Individual provider Active NPI

Bartley R. Labiner, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bronx, NY
National Provider Identifier
1780684373
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
031875 Issued in NY
Practice address
1940 Grand Concourse
Bronx, NY 10457-5221
Phone
(718) 583-6347
Fax
(718) 583-8047
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 031875 NY Primary

Addresses

Primary practice location

1940 Grand Concourse
Bronx, NY 10457-5221

Mailing address

1940 Grand Concourse
Bronx, NY 10457-5221
Phone (718) 583-6347

Other identifiers 1

IdentifierTypeStateIssuer
00297287MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bartley R. Labiner,DDS Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780684373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575221",
            "telephone_number": "718-583-6347",
            "fax_number": "718-583-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575221",
            "telephone_number": "718-583-6347",
            "fax_number": "718-583-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABINER",
        "first_name": "BARTLEY",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "031875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00297287",
            "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 Jul 9, 2007; 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.