Modern Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTAL PC

Practice address

272 9TH Street
Brooklyn, NY 11215

Phone

(718) 832-3700

Fax

(718) 832-2851

NPI assigned

Aug 22, 2007

Organization subpart

Yes

Parent organization

MODERN DENTAL PCAs reported in NPPES

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

Authorized official

Name

Mr. Aleksey Novakmov, DDS

Title

Dentist

Phone

(718) 832-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Modern Dental PC

Practitioners 1

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

• Yelena Ustinina

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1336328368
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1144413261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 9TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-832-3700",
            "fax_number": "718-832-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 9TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-832-3700",
            "fax_number": "718-832-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODERN DENTAL PC",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAKMOV",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-832-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01701899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Model, MD
• Zachary Model, LMHC
• Modern Chemist LLC (The Modern Chemist)
• Modern Chiropractic Care, P.C.
• Modern Chiropractic PC
• Modern Dentistry
• Modern Dentistry Vas of Brooklyn, PLLC
• Modern Diagnostic Laboratory, Inc
• Modern Eyes Optical 8 Inc
• Modern Eyes Optical 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 Aug 22, 2007; 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.