Organization Active NPI

Flawless Dental PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1215337647
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050068 Issued in NY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02374909MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.