Active NPI
Iryna Branets, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1043335185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 053771-1
- Practice address
- 1601 Gravesend Neck Rd
2ND Floor
Brooklyn, NY 11229-4426 - Phone
- (718) 934-0050
- Fax
- (718) 934-0063
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN17210 | FL | |
| Dentist | 122300000X | 053771-1 | NY | Primary |
Addresses
Primary practice location
1601 Gravesend Neck Rd
2ND Floor
Brooklyn, NY 11229-4426
Mailing address
1601 Gravesend Neck Rd
2ND Floor
Brooklyn, NY 11229-4426
Phone (718) 934-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02941940 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 053771-1 | NY | MD | Dentist |
| DN17210 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1043335185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 GRAVESEND NECK RD",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294426",
"telephone_number": "718-934-0050",
"fax_number": "718-934-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 GRAVESEND NECK RD",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294426",
"telephone_number": "718-934-0050",
"fax_number": "718-934-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANETS",
"first_name": "IRYNA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17210",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053771-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02941940",
"state": "NY"
}
],
"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 Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.