NPIMap

Organization Active NPI

Avenue X Dental PLLC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1174744197
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050791 Issued in NY
Legal business name
AVENUE X DENTAL PLLC
Practice address
2811 Ocean Ave Ste 2
Brooklyn, NY 11229-4721
Phone
(718) 648-8026
Fax
(718) 648-8499
NPI assigned
May 1, 2007
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Nandor Halpert, DDSNPI 1447240064
Title
President
Phone
(718) 648-8026

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 050791 NY Primary

Addresses

Primary practice location

2811 Ocean Ave Ste 2
Brooklyn, NY 11229-4721

Mailing address

2811 Ocean Ave Ste 2
Brooklyn, NY 11229-4721
Phone (718) 648-8026

National Provider Directory

National Provider Directory

Locations

2811 Ocean Ave
Ste 2
Brooklyn, NY 11229
Phone (718) 648-8026

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1174744197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 OCEAN AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294721",
            "telephone_number": "718-648-8026",
            "fax_number": "718-648-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 OCEAN AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294721",
            "telephone_number": "718-648-8026",
            "fax_number": "718-648-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE X DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "NANDOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-648-8026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 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.