Bright Smile Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIGHT SMILE DENTAL, PC

Practice address

2791 W 5TH St
Brooklyn, NY 11224

Phone

(718) 449-5559

Fax

(718) 449-2893

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vadim KhrakovskyNPI 1255413738

Title

Owner

Phone

(718) 449-5559

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vadim Khrakovsky, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1255413738
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1083767222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244624",
            "telephone_number": "718-449-5559",
            "fax_number": "718-449-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "718-449-5559",
            "fax_number": "718-449-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "KHRAKOVSKY",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-449-5559",
        "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": []
}

• Bright Pharmacy & Medical Supply Inc
• Bright Physical Therapy PC
• Bright RX Inc
• Bright Shine Licensed Behavior Analyst PC
• Bright Sky Dental PC
• Bright Start Child Development Center, LLC
• Bright Start Development
• Bright Start Inc
• Bright Start PT & Pta PLLC
• Bright Steps Ei LLC

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.