Midwood Dental Services P.C

Primary specialty

DentistTaxonomy code 122300000X

License

043908 Issued in NY

Legal business name

MIDWOOD DENTAL SERVICES P.C

Doing business as

Vladislav Umansky D.D.S.

Practice address

1620 Ocean Ave
Suite 1a
Brooklyn, NY 11230-4921

Phone

(718) 252-9222

Fax

(718) 252-0982

NPI assigned

Apr 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Vladislav Umansky, DDS

Title

President, Owner

Phone

(718) 252-9222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vladislav Umansky D.D.S. Doing business as

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1023438975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 OCEAN AVE",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304921",
            "telephone_number": "718-252-9222",
            "fax_number": "718-252-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 OCEAN AVE",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304921",
            "telephone_number": "718-252-9222",
            "fax_number": "718-252-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD DENTAL SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "UMANSKY",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "718-252-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013399086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vladislav Umansky D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.