Igor Dekhkanov DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IGOR DEKHKANOV DDS PC

Practice address

438 Graham Ave FL 1
Brooklyn, NY 11211-1415

Phone

(347) 822-9027

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Igor Dekhkanov, DDS

Title

Dentist

Phone

(718) 349-5912

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Williamsburg Dental Works Doing business as

Locations

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1104442706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 GRAHAM AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111415",
            "telephone_number": "347-822-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 GRAHAM AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111415",
            "telephone_number": "347-822-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR DEKHKANOV DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "DEKHKANOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-349-5912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144652769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Dental Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.