NK Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NK DENTAL PC

Doing business as

BowTie Dental Studio

Practice address

109 N 12TH St Ste 607
Brooklyn, NY 11249-1002

Phone

(929) 300-0702

Fax

(929) 300-0706

NPI assigned

Oct 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nina Kokilashvili, DMDNPI 1407266257

Title

President

Phone

(929) 300-0702

Specialties & licenses 1

Addresses

Other names 1

• BowTie Dental Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nina Kokilashvili, DMD

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1407266257
  NPD Authorized official

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1225636400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N 12TH ST STE 607",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491002",
            "telephone_number": "929-300-0702",
            "fax_number": "929-300-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 12TH ST STE 607",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491002",
            "telephone_number": "929-300-0702",
            "fax_number": "929-300-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "KOKILASHVILI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-300-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BowTie Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NJBP LLC
• Kimberly Njemanze
• Mariama Njie
• NJS Physical Medicine and Rehabilitation, PC
• Njy Medical Supplies Inc
• NK Progress
• Ibanga Nkanga
• Lydia Nkansah
• Stanley Nkemjika
• Guedem Edwige Nkwenti, NP

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.