NPIMap

Organization Active NPI

Avdeychik Corp.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1225455116
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044215 Issued in NY
Legal business name
AVDEYCHIK CORP.
Practice address
1810 Jerome Ave.
1St. Floor
Brooklyn, NY 11235
Phone
(718) 646-0900
Fax
(718) 769-9723
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Dr. Tatyana Avdeychik, DDSNPI 1134100936
Title
Dentist
Phone
(718) 646-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044239 NY
General Practice Dentistry 1223G0001X 044215 NY Primary

Addresses

Primary practice location

1810 Jerome Ave.
1St. Floor
Brooklyn, NY 11235

Mailing address

1810 Jerome Ave.
1St. Floor
Brooklyn, NY 11235
Phone (718) 646-0900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1225455116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE.",
            "address_2": "1ST. FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-646-0900",
            "fax_number": "718-769-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE.",
            "address_2": "1ST. FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-646-0900",
            "fax_number": "718-769-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVDEYCHIK CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "AVDEYCHIK",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-646-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044239",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044215",
            "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 Mar 28, 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.