Active NPI
Signature Smile General & Cosmetic Dentistry, PLLC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1164673695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052152
- Legal business name
- SIGNATURE SMILE GENERAL & COSMETIC DENTISTRY, PLLC
- Practice address
- 100 Pineapple Walk
Brooklyn, NY 11201-1705 - Phone
- (718) 246-5677
- NPI assigned
- Oct 2, 2008
- Last updated
- Aug 19, 2024
- 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. Inna Trogan, DDS
- Title
- Owner
- Phone
- (718) 246-5677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052152 | NY | Primary |
Addresses
Primary practice location
100 Pineapple Walk
Brooklyn, NY 11201-1705
Mailing address
100 Pineapple Walk
Brooklyn, NY 11201-1705
Phone (718) 246-5677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962617605 | Other | NY | NPI |
Other names 1
- Signature Smile Dental
National Provider Directory
National Provider DirectoryLocations
100 Pineapple Walk
Brooklyn, NY 11201
Phone (718) 246-5677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Brooklyn, NY
- NPI 1962617605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1164673695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PINEAPPLE WALK",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011705",
"telephone_number": "718-246-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PINEAPPLE WALK",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011705",
"telephone_number": "718-246-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE SMILE GENERAL & COSMETIC DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-02",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "TROGAN",
"authorized_official_first_name": "INNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-246-5677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962617605",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature Smile Dental",
"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 Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.