NPI Code Detail JSON Logo

1689011033 NPI number — SCOTT A. BIALIK, DDS LLC

NPI Number: 1689011033
Health Care Provider/Practitioner: SCOTT A. BIALIK, DDS LLC

Information about “1689011033” NPI (SCOTT A. BIALIK, DDS LLC) exists in 1689011033 in HTML format HTML  |  1689011033 in plain Text format TXT  |  1689011033 in PDF (Portable Document Format) PDF  |  1689011033 in an XML format XML  formats.

NPI Number : 1689011033 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689011033",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SCOTT A. BIALIK, DDS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "246 FEDERAL RD",
    "SecondLineMailingAddress": "SUITE D 13",
    "MailingAddressCityName": "BROOKFIELD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06804-2647",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-791-2771",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "246 FEDERAL RD",
    "SecondLinePracticeLocationAddress": "SUITE D 13",
    "PracticeLocationAddressCityName": "BROOKFIELD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06804-2647",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-791-2771",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/24/2013",
    "LastUpdateDate": "02/16/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BIALIK",
    "AuthorizedOfficialFirstName": "SCOTT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "203-788-1458",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.