NPIMap

Organization Active NPI

Family Practice Dentistry

  • Dentist
  • Bronx, NY
National Provider Identifier
1902933609
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
008202 Issued in CT
Legal business name
FAMILY PRACTICE DENTISTRY
Practice address
1725 Edison Ave
Lobby C
Bronx, NY 10461-4850
Phone
(718) 892-7114
Fax
(718) 892-7494
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Peter J Healy, DDSNPI 1982761607
Title
Partner
Phone
(718) 892-7114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 008202 CT Primary

Addresses

Primary practice location

1725 Edison Ave
Lobby C
Bronx, NY 10461-4850

Mailing address

1725 Edison Ave
Lobby C
Bronx, NY 10461-4850
Phone (718) 892-7114

Other names 1

  • Family Practice Dentistry & Laser Dental Care LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Practice Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1725 Edison Ave
Lbby C
Bronx, NY 10461
Phone (718) 892-7114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1902933609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 EDISON AVE",
            "address_2": "LOBBY C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614850",
            "telephone_number": "718-892-7114",
            "fax_number": "718-892-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 EDISON AVE",
            "address_2": "LOBBY C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614850",
            "telephone_number": "718-892-7114",
            "fax_number": "718-892-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-892-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "008202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Dentistry & Laser Dental Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 12, 2008; 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.