Alexander D. Borukhov, DMD, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

048512 Issued in NY

Legal business name

ALEXANDER D. BORUKHOV, DMD, P.C.

Doing business as

Dynasty Dental Care

Practice address

10857 64TH Ave Ste 1
Forest Hills, NY 11375-1442

Phone

(718) 830-6263

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Borukhov, D.M.D.NPI 1457429474

Title

Owner

Phone

(718) 830-6263

Specialties & licenses 1

Addresses

Other names 1

• Dynasty Dental Care Doing business as

Locations

Practitioners 1

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

• Alexander Borukhov, D.M.D.

  • Dentist
  • Forest Hills, NY
  • NPI 1457429474
  NPD (past) Authorized official

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1215196944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 64TH AVE STE 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751442",
            "telephone_number": "718-830-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10857 64TH AVE STE 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751442",
            "telephone_number": "718-830-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER D. BORUKHOV, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "BORUKHOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-830-6263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynasty Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jan Alejado, M.S.
• Isabella Marina Elisabet Alessandrini
• Alex Chao DDS PC
• Alexander Alperovich, MD, PC
• Alexander Bowen, MD PLLC
• Alexander Dolsky PTPC
• Julie Lynn Alexander, LCSW
• Regina Alexander, LMSW
• Tiffanie Alexander
• Xalaya Alexander

• Dentist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.