Individual provider Active NPI

Vladimir Bukrinsky, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1003006446
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045247 Issued in NY
Practice address
1632 E 18TH St
Suite a-1
Brooklyn, NY 11229-1268
Phone
(718) 382-5565
Fax
(718) 382-5590
NPI assigned
Aug 1, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045247 NY Primary

Addresses

Primary practice location

1632 E 18TH St
Suite a-1
Brooklyn, NY 11229-1268

Mailing address

1632 E 18TH St
Suite a-1
Brooklyn, NY 11229-1268
Phone (718) 382-5565

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
045247NYMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1003006446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 E 18TH ST",
            "address_2": "SUITE A-1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291268",
            "telephone_number": "718-382-5565",
            "fax_number": "718-382-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E 18TH ST",
            "address_2": "SUITE A-1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291268",
            "telephone_number": "718-382-5565",
            "fax_number": "718-382-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKRINSKY",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.