Active NPI
David L Brisman DMD PC
- Preferred Provider Organization
- New York, NY
National Provider Identifier
1215732508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- DAVID L BRISMAN DMD PC
- Practice address
- 31 Washington SQ W Apt 1R
New York, NY 10011-9172 - Phone
- (212) 673-6900
- Fax
- (212) 254-7356
- NPI assigned
- Feb 19, 2025
- 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 L Brisman, DMD
- Title
- Owner
- Phone
- (212) 673-6900
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 |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
31 Washington SQ W Apt 1R
New York, NY 10011-9172
Mailing address
31 Washington SQ W Apt 1R
New York, NY 10011-9172
Phone (212) 673-6900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831896588 | Other | NY | DENTAL |
| 1760566921 | Other | NY | DENTAL |
Other names 1
- Brisman Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- New York, NY
- NPI 1760566921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1215732508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 WASHINGTON SQ W APT 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100119172",
"telephone_number": "212-673-6900",
"fax_number": "212-254-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 WASHINGTON SQ W APT 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100119172",
"telephone_number": "212-673-6900",
"fax_number": "212-254-7356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID L BRISMAN DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "BRISMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-673-6900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL",
"identifier": "1831896588",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL",
"identifier": "1760566921",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brisman Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.