Active NPI
Sorriso Dental Care P.C.
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1053443432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 047511
- Legal business name
- SORRISO DENTAL CARE P.C.
- Practice address
- 1714 Bath Ave
Brooklyn, NY 11214-4532 - Phone
- (718) 256-1500
- Fax
- (718) 256-3113
- NPI assigned
- Mar 12, 2007
- Last updated
- Aug 22, 2020
- 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
- Tatiana Zheleznyak-Bronstein, D.D.S.
- Title
- President
- Phone
- (718) 256-1500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 047511 | NY | Primary |
Addresses
Primary practice location
1714 Bath Ave
Brooklyn, NY 11214-4532
Mailing address
1714 Bath Ave
Brooklyn, NY 11214-4532
Phone (718) 256-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01912110 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1659403129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053443432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 BATH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144532",
"telephone_number": "718-256-1500",
"fax_number": "718-256-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 BATH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144532",
"telephone_number": "718-256-1500",
"fax_number": "718-256-3113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SORRISO DENTAL CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZHELEZNYAK-BRONSTEIN",
"authorized_official_first_name": "TATIANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-256-1500",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "047511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01912110",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.