Ga Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

050970 Issued in NY

Legal business name

GA DENTAL PC

Practice address

1745 E 12 St
Apt 3 R
Brooklyn, NY 11229

Phone

(718) 801-2151

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Genrietta Arakelova, DDS

Title

President

Phone

(718) 801-2151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1154585057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 E 12TH ST",
            "address_2": "APT 4G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291035",
            "telephone_number": "718-801-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 E 12 ST",
            "address_2": "APT 3 R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-801-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "ARAKELOVA",
        "authorized_official_first_name": "GENRIETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-801-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02553973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G&I Ortho Supply Inc.
• G&L Ambulette Co.,Inc.
• G&M Ambulette Service Inc
• G&S Drug Corp
• Ga 12 Kids LLC
• Ga Medical PC
• John Philip Gaac
• Teresita Abegail Isidro Gaac
• Erik Ethan Gaal, DO
• Marlyn Gaba, SLP

• 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 Jul 10, 2008; 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.