NPIMap

Organization Active NPI

Park Slope Kids Dental Care

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1073996625
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
055486 Issued in NY
Legal business name
PARK SLOPE KIDS DENTAL CARE
Practice address
150 Fouth Ave
Brooklyn, NY 11217-3145
Phone
(718) 488-0200
NPI assigned
Jul 1, 2015
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Tanesha FrancisNPI 1710991898
Title
Dr
Phone
(302) 379-0824

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
Pediatric Dentistry 1223P0221X 055486 NY Primary

Addresses

Primary practice location

150 Fouth Ave
Brooklyn, NY 11217-3145

Mailing address

150 Fouth Ave
Brooklyn, NY 11217-3145
Phone (718) 488-0200

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": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1073996625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FOUTH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173145",
            "telephone_number": "718-488-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FOUTH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173145",
            "telephone_number": "718-488-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE KIDS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "302-379-0824"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055486",
            "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 Jul 1, 2015; 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.