Individual provider Active NPI

Vincent Anthony Labruna, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Red Bank, NJ
National Provider Identifier
1801192216
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI01778200 Issued in NJ
Practice address
The Perfect Smile Dental Services
326 Broad Street
Red Bank, NJ 07701
Phone
(732) 224-9339
Fax
(732) 224-1342
NPI assigned
Feb 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI01778200 NJ Primary

Addresses

Primary practice location

The Perfect Smile Dental Services
326 Broad Street
Red Bank, NJ 07701

Mailing address

520 E 20TH St Apt 1C
New York, NY 10009-8331
Phone (917) 671-7648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629000243 NJ Order and Referring Only - DentistPractitioner - Dentist 3274889522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayonne Family Dental Past Accepting new patients
Perfect Smile Dental Office PC PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 2

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": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1801192216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 20TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098331",
            "telephone_number": "917-671-7648",
            "fax_number": "212-777-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE PERFECT SMILE DENTAL SERVICES",
            "address_2": "326 BROAD STREET",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-224-9339",
            "fax_number": "732-224-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRUNA",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01778200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.