Individual provider Active NPI

Bogdan V. Simionescu, DMD

  • Dentist
  • Danbury, CT
National Provider Identifier
1962716977
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9085 Issued in CT
Practice address
105 Newtown Rd
Suite 4
Danbury, CT 06810-4194
Phone
(203) 744-7377
Fax
(203) 744-7403
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9085 CT Primary

Addresses

Primary practice location

105 Newtown Rd
Suite 4
Danbury, CT 06810-4194

Mailing address

105A Newtown Road
Suite 4
Danbury, CT 06810
Phone (203) 744-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9085CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin M. Frank, D.D.S. Past Accepting new patients

Organizations & group practices 1

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1962716977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105A NEWTOWN ROAD",
            "address_2": "SUITE 4",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-744-7377",
            "fax_number": "203-744-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD",
            "address_2": "SUITE 4",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104194",
            "telephone_number": "203-744-7377",
            "fax_number": "203-744-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIONESCU",
        "first_name": "BOGDAN",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.