Organization Active NPI

Sorriso Dental Care P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1053443432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047511 Issued in NY
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1659403129
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01912110MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.