Active NPI
Flawless Dental PC
- Dentist
- Brooklyn, NY
National Provider Identifier
1215337647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 050068
- Legal business name
- FLAWLESS DENTAL PC
- Practice address
- 505 Flushing Ave
Brooklyn, NY 11205-1649 - Phone
- (718) 624-5456
- NPI assigned
- Sep 4, 2014
- Last updated
- Sep 4, 2014
- 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. David Jakubowitz, DDS
- Title
- Owner
- Phone
- (516) 547-2578
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 050068 | NY | Primary |
Addresses
Primary practice location
505 Flushing Ave
Brooklyn, NY 11205-1649
Mailing address
505 Flushing Ave
Brooklyn, NY 11205-1649
Phone (718) 624-5456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02374909 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409788800000",
"number": "1215337647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 FLUSHING AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051649",
"telephone_number": "718-624-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 FLUSHING AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051649",
"telephone_number": "718-624-5456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLAWLESS DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A",
"authorized_official_last_name": "JAKUBOWITZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-547-2578",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "050068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02374909",
"state": "NY"
}
],
"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 Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.