Active NPI
Neighborhood Dental of Bushwick PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1003338674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NEIGHBORHOOD DENTAL OF BUSHWICK PC
- Practice address
- 291 Knickerbocker Ave
Brooklyn, NY 11237 - Phone
- (718) 963-9500
- NPI assigned
- Jul 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Olga Mihnyonok
- Title
- Officer
- Phone
- (718) 963-9500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X |
Addresses
Primary practice location
291 Knickerbocker Ave
Brooklyn, NY 11237
Mailing address
291 Knickerbocker Ave
Brooklyn, NY 11237-3103
Phone (718) 963-9500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1003338674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373103",
"telephone_number": "718-963-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11237",
"telephone_number": "718-963-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD DENTAL OF BUSHWICK PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MIHNYONOK",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "718-963-9500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.