South Bronx Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

047218-1 Issued in NY

Legal business name

SOUTH BRONX ORTHODONTICS

Practice address

2825 3Rd Ave
Suite 406 (4TH Floor)
Bronx, NY 10455-4003

Phone

(718) 292-4700

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Oleg Drut, D.D.S.

Title

Owner/Orthodontist

Phone

(718) 373-6707

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1831444355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE",
            "address_2": "SUITE 406 (4TH FLOOR)",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554003",
            "telephone_number": "718-292-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE",
            "address_2": "SUITE 406 (4TH FLOOR)",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554003",
            "telephone_number": "718-292-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BRONX ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "DRUT",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "718-373-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "047218-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bronx Medical
• South Bronx Mental Health Coun Cil Inc
• South Bronx Mental Health Coun Cil Inc
• South Bronx Mental Health Council, Inc
• South Bronx Mental Health Council, Inc.
• South Bronx Transportation
• South Medical Services Ny PC
• South Westchester Vein & Vascular PLLC
• Southbronxrxinc
• Southern Boulevard Pharmacy Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.