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WILLARD OSIBIN III DDS
NPI 1205178357
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 26, 2013PECOS Enrolled
1770 GRAND CONCOURSE, B LEVEL SUITE C, BRONX, NY 10457(718) 901-8132 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willard Osibin Iii Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLARD OSIBIN III DDS (NPI 1205178357) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205178357
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLARD OSIBIN IIICredential: DDS
Location Address1770 GRAND CONCOURSE, B LEVEL SUITE CBronx, NY 10457-5524
Mailing Address1770 Grand Concourse, B Level Suite CBronx, NY 10457-5524
Phone(718) 901-8132
Sole ProprietorNo
Enumeration DateMarch 26, 2013
✔ NPI 1205178357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1770 GRAND CONCOURSE, Bronx, NY 10457
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willard Osibin Iii Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOIRE BOGUI DMD
Dentist (General Practice)
1770 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 901-8110
DR. RAINA C. LEE DDS
Dentist (General Practice)
1770 GRAND CONCOURSE, 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. PAUL GATES DDS
Dentist (Oral and Maxillofacial Surgery)
1770 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 901-8110
DR. MITCHELL JUDD SAREMBOCK DDS
Student in an Organized Health Care Education/Training Program
1770 GRAND CONCOURSE, STE 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. REEM HEMANTHARAJU DDS
Dentist (General Practice)
1770 GRAND CONCOURSE, 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. GILDA DIAZ-FUENTES MD
Internal Medicine (Pulmonary Disease)
1770 GRAND CONCOURSE, 2G
BRONX, NY 10457
Bronx County (718) 518-5581
DR. OLIVER SULLIVAN DMD
Dentist (General Practice)
1770 GRAND CONCOURSE, STE 2F
BRONX, NY 10457
Bronx County (718) 901-8110
ERNST, SY AND MENON
Specialist
1770 GRAND CONCOURSE, #2G
BRONX, NY 10457
Bronx County (718) 518-5581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willard Osibin's NPI number?

The NPI number for Willard Osibin is 1205178357. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Willard Osibin located?

Willard Osibin practices at 1770 Grand Concourse B Level Suite C, Bronx, NY 10457. The listed phone number is (718) 901-8132.

What is Willard Osibin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Willard Osibin enrolled in Medicare?

Yes. Willard Osibin is registered in the Medicare PECOS enrollment system.

What insurance does Willard Osibin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Willard Osibin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willard Osibin was last updated on March 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.