Double Care Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

047382 Issued in NY

Legal business name

DOUBLE CARE DENTAL PC

Practice address

2200 Ocean Avenue
Suite 1 U
Brooklyn, NY 11229-2249

Phone

(718) 339-1811

Fax

(718) 339-1811

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Sofiya Chudinova, DDSNPI 1700110350

Title

President

Phone

(718) 339-1811

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Sofiya Chudinova, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1700110350
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1154466746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OCEAN AVENUE",
            "address_2": "SUITE 1 U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292249",
            "telephone_number": "718-339-1811",
            "fax_number": "718-627-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OCEAN AVENUE",
            "address_2": "SUITE 1 U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292249",
            "telephone_number": "718-339-1811",
            "fax_number": "718-339-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE CARE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHUDINOVA",
        "authorized_official_first_name": "SOFIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-339-1811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01789922",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS AMERICHOCE",
            "identifier": "D000598",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Margaret Dotson, OTR/L
• Kathryn Elizabeth Doty
• Kevin Dou
• Immacula M Douarin
• Sofia Doubinine, LCSW
• Double M Medical Care PLLC
• Maria Doubrovskaia
• Anna Doucet, MS ED
• Amey Nicole Doucette
• Doueck Associates

• 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 Mar 7, 2023; 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.