Alvin I. Edelman, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ALVIN I. EDELMAN, D.D.S., P.C.

Practice address

910 Thieriot Ave
Suite 1C
Bronx, NY 10473-3203

Phone

(718) 589-3131

Fax

(718) 589-3132

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Alvin I. Edelman, D.D.S.

Title

President

Phone

(718) 589-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871519462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 THIERIOT AVE",
            "address_2": "SUITE 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733203",
            "telephone_number": "718-589-3131",
            "fax_number": "718-589-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 THIERIOT AVE",
            "address_2": "SUITE 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733203",
            "telephone_number": "718-589-3131",
            "fax_number": "718-589-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN I. EDELMAN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-589-3131",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01877054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bronx, NY
• Providers in Bronx, 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 Aug 22, 2020; 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.