Active NPI
Bliss Dental Arts, PLLC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1134462492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050617
- Legal business name
- BLISS DENTAL ARTS, PLLC
- Practice address
- 6416 11TH Ave
Suite 1
Brooklyn, NY 11219-5639 - Phone
- (718) 833-4373
- NPI assigned
- Apr 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uzma Khan, DDS
- Title
- Owner
- Phone
- (718) 833-4373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050617 | NY | Primary |
Addresses
Primary practice location
6416 11TH Ave
Suite 1
Brooklyn, NY 11219-5639
Mailing address
6416 11TH Ave
Suite 1
Brooklyn, NY 11219-5639
Phone (718) 833-4373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02420428 | Medicaid | NY |
Other names 1
- Bliss Dental Arts, PLLC
National Provider Directory
National Provider DirectoryLocations
6416 11th Ave
Brooklyn, NY 11219
6416 11th Ave
#1
Brooklyn, NY 11219
Phone (718) 833-4373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433116800000",
"number": "1134462492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6416 11TH AVE",
"address_2": "SUITE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195639",
"telephone_number": "718-833-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6416 11TH AVE",
"address_2": "SUITE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195639",
"telephone_number": "718-833-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLISS DENTAL ARTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-04",
"last_updated": "2015-06-01",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "UZMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-833-4373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02420428",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bliss Dental Arts, PLLC",
"code": "5",
"type": "Other Name"
}
]
}
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 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.