NPIMap

Organization Active NPI

A. Maskell D.D.S. and S.Maskell D.D.S., P.C.

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1073503215
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
026738 Issued in NY
Legal business name
A. MASKELL D.D.S. AND S.MASKELL D.D.S., P.C.
Practice address
722 Broadway
Brooklyn, NY 11206-4403
Phone
(718) 387-1365
Fax
(718) 486-5733
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Dr. Alan Maskell, D.D.S.NPI 1144211178
Title
President
Phone
(718) 387-1365

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 026738 NY Primary

Addresses

Primary practice location

722 Broadway
Brooklyn, NY 11206-4403

Mailing address

722 Broadway
Brooklyn, NY 11206-4403
Phone (718) 387-1365

Other identifiers 1

IdentifierTypeStateIssuer
00904650MedicaidNY

National Provider Directory

National Provider Directory

Locations

722 Broadway
Brooklyn, NY 11206
Phone (718) 387-0953

Practitioners & affiliated clinicians

Practitioners 8

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1073503215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064403",
            "telephone_number": "718-387-1365",
            "fax_number": "718-486-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064403",
            "telephone_number": "718-387-1365",
            "fax_number": "718-486-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. MASKELL D.D.S. AND S.MASKELL D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MASKELL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-387-1365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "026738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00904650",
            "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 Jun 11, 2012; 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.