| NPI | 1255863114 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-03-30 |
| Last Updated | 2017-03-30 |
| Mailing Address | 760 Pennsylvania Ave Fort Lauderdale, FL 33312-2625 United States Phone: (954) 707-8510 📍 View Map |
| Primary Practice Address | 1775 Grand Concourse 6th Floor, Bronx Lebanon Hospital Center, Dept. Of Dentistry Bronx, NY 10453 United States Phone: (718) 901-8110 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 390200000X – Student in an Organized Health Care Education/Training Program | - | - |
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About NPI 1255863114
Debbie Desravines DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255863114. The primary specialty listed is Student in an Organized Health Care Education/Training Program. The provider is located in Bronx, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255863114?
NPI 1255863114 belongs to Debbie Desravines DMD, a Student in an Organized Health Care Education/Training Program in Bronx, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255863114 active?
The current status of NPI 1255863114 in the NPPES registry is Active. The record was last updated on 2017-03-30.
What specialty is NPI 1255863114?
NPI 1255863114 is classified under the taxonomy Student in an Organized Health Care Education/Training Program. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255863114?
You can verify NPI 1255863114 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255863114?
The primary practice address on file for NPI 1255863114 is 1775 Grand Concourse 6th Floor, Bronx, NY 10453. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255863114 issued?
NPI 1255863114 was first issued (enumerated) on 2017-03-30. The NPPES record was last updated on 2017-03-30.
Practice Location Map
Debbie Desravines is located at 1775 Grand Concourse 6th Floor, Bronx, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Debbie Desravines. All records sourced from the CMS NPPES registry.