Individual provider Active NPI

Rabiel Amirian, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1114143963
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052892 Issued in NY
Practice address
142 Joralemon St
6E
Brooklyn, NY 11201-4747
Phone
(718) 360-1828
NPI assigned
Apr 18, 2007
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052892 NY Primary

Addresses

Primary practice location

142 Joralemon St
6E
Brooklyn, NY 11201-4747

Mailing address

142 Joralemon St
6E
Brooklyn, NY 11201-4747
Phone (718) 360-1828

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
I20170808000913 NY Practitioner - Oral Surgery 9032489737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

142 Joralemon St
6Ef
Brooklyn, NY 11201-4747
Phone (718) 624-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052892NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Care of Nyc PC Dentist CurrentSince Apr 8, 2010 Accepting new patients
Brooklyn Dental Smiles Current Accepting new patients
Brooklyn Dental Sedation Care PC CurrentSince Oct 1, 2023 Accepting new patients
Brooklyn Care Dental Dentist Current Accepting new patients

Locations

142 Joralemon St
#6
Brooklyn, NY 11201
Phone (718) 624-1970

142 Joralemon St
Ste 6E
Brooklyn, NY 11201
Phone (214) 724-7782

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1114143963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "718-360-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "718-360-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRIAN",
        "first_name": "RABIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.