Organization Active NPI

Open Dental, P.C.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1942525985
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052276-1 Issued in NY
Legal business name
OPEN DENTAL, P.C.
Practice address
432 E 149TH St
Bronx, NY 10455-1343
Phone
(267) 266-5366
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. Joshua Barnett, DMD
Title
President
Phone
(267) 266-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 052276-1 NY Primary

Addresses

Primary practice location

432 E 149TH St
Bronx, NY 10455-1343

Mailing address

432 E 149TH St
Bronx, NY 10455-1343
Phone (267) 266-5366

Other identifiers 1

IdentifierTypeStateIssuer
02951384MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Open Dental PC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1942525985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551343",
            "telephone_number": "267-266-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551343",
            "telephone_number": "267-266-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-266-5366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052276-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02951384",
            "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 Apr 1, 2010; 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.