Organization Active NPI

Friendly Dental Care, P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1053583062
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRIENDLY DENTAL CARE, P.C.
Practice address
2300 West 7 Street 1 FL
Brooklyn, NY 11223
Phone
(718) 872-0460
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Dmitriy VolotsenkoNPI 1134119274
Title
Owner
Phone
(718) 872-0460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2300 West 7 Street 1 FL
Brooklyn, NY 11223

Mailing address

2300 West 7 Street 1 FL
Brooklyn, NY 11223
Phone (718) 872-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050214000527 NY Part B Supplier - Clinic/Group Practice 0749232106 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Staten Island, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

2300 W 7th St
Brooklyn, NY 11223
Phone (718) 872-0460

9516 Church Ave
Brooklyn, NY 11212
Phone (718) 495-8801

1420 Saint Nicholas Ave
Frnt 2
New York, NY 10033
Phone (212) 781-0700

1432 Forest Ave
Staten Island, NY 10302
Phone (718) 442-9254

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1053583062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WEST 7 STREET 1 FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-872-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WEST 7 STREET 1 FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-872-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "VOLOTSENKO",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-872-0460",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.