Individual provider Active NPI

John R Halikias, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1063505485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39599 Issued in NY
Practice address
2101 Brown St
Brooklyn, NY 11229-5112
Phone
(718) 891-4243
Fax
(718) 891-7136
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39599 NY Primary

Addresses

Primary practice location

2101 Brown St
Brooklyn, NY 11229-5112

Mailing address

2101 Brown St
Brooklyn, NY 11229-5112
Phone (718) 891-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512000635 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587953658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39599NYMDGeneral Practice Dentistry
039599NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063505485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295112",
            "telephone_number": "718-891-4243",
            "fax_number": "718-891-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295112",
            "telephone_number": "718-891-4243",
            "fax_number": "718-891-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIKIAS",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "39599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.