NPIMap

Organization Active NPI

Luxury Dental P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1225339922
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047847 Issued in NY
Legal business name
LUXURY DENTAL P.C.
Practice address
1724 Ave Z
Brooklyn, NY 11235-3615
Phone
(718) 648-6969
Fax
(718) 368-1342
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Vadim Firdman Sr.
Title
President
Phone
(718) 648-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047847 NY Primary

Addresses

Primary practice location

1724 Ave Z
Brooklyn, NY 11235-3615

Mailing address

1724 Avenue Z
Brooklyn, NY 11235-3615
Phone (718) 648-6969

National Provider Directory

National Provider Directory

Locations

1724 Avenue Z
Brooklyn, NY 11235
Phone (718) 648-6969

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1225339922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353615",
            "telephone_number": "718-648-6969",
            "fax_number": "718-368-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 AVE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353615",
            "telephone_number": "718-648-6969",
            "fax_number": "718-368-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "FIRDMAN",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-648-6969",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047847",
            "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 Nov 11, 2010; 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.