Organization Active NPI

Bliss Dental Arts, PLLC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1134462492
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050617 Issued in NY
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

Updated by the provider on Jun 1, 2015

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02420428MedicaidNY

Other names 1

  • Bliss Dental Arts, PLLC Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.