DR. ACKEILIA K BLOOMFIELD-HEATRICE (NPI# 1609003060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609003060 |
| Entity Type | Individual |
| Full Name | DR. ACKEILIA K BLOOMFIELD-HEATRICE |
| Credential | DDS |
| Practice Address |
15 W 136th St New York NY 10037-2104 |
| Mailing Address |
245 East 124 St Apt 6s New York NY 10035 |
| Practice Telephone | 2129392883 |
| Mailing Telephone | 5804423905 |
| Mailing Fax Number | 5804424002 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
056027-1 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2776 Ringgold Rd, Usa Dental Activity, Fort Sill, OK 73503 | 5804423905 | 5804424002 |
| Street Address |
15 W 136TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851887293 | Shahabeddin Sassanpour | Student in an Organized Health Care Education/Training Program | 15 W 136th St, New York, NY 10037-2104 | 2018-07-09 |
| 1962935221 | Somtochukwu Agunwah | Student in an Organized Health Care Education/Training Program | 15 W 136th St, New York, NY 10037-2104 | 2017-04-04 |
| 1508219106 | Erika Dickerson | Nurse Practitioner | 15 W 136th St, 2nd Floor, Kountz Pavilion, New York, NY 10037-2104 | 2016-07-19 |
| 1699185041 | Raj Kamlesh Thaker | Dentist | 15 W 136th St, New York, NY 10037-2104 | 2014-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| Find all providers in zip 10037 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1093271710 | Little Smiles Pediatric Dentistry, Pllc | Dentist | 535 Hudson Street 1c, Apt #3g, New York, NY 10014 | 2019-02-19 |
| 1659842870 | Carnegie Hill 91st St Dental | Dentist | 15 E 91st St Ste A, New York, NY 10128-0648 | 2018-12-16 |
| 1134627128 | Evan Cyrkin Dds, PC | Dentist | 146 W 83rd St, New York, NY 10024-5021 | 2018-01-25 |
| 1306352026 | Mahdieh Beheshti | Dentist | 1955 1st Ave Apt 337, New York, NY 10029-6441 | 2017-12-18 |
| 1649796491 | Central Park Dentistry, PC | Dentist | 30 Central Park S Rm 2b-2c, New York, NY 10019-1628 | 2017-08-14 |
| 1902342264 | Mark Hermano | Dentist | 42 W 85th St, Apt 2-r, New York, NY 10024-4500 | 2017-01-11 |
| 1780132670 | Chelsea Pediatric Dentistry | Dentist | 220 W 26th St, New York, NY 10001-6753 | 2016-09-20 |
| 1316492838 | Raya Abu-zahra | Dentist | 450 East 63rd St, Apt 9i, New York, NY 10065 | 2016-08-25 |
| 1295289510 | Dr Stephen J. Moss Dds Ms | Dentist | 201 E 62nd St, New York, NY 10065-7627 | 2016-08-04 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.