Vadim Khrakovsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044343 Issued in NY

Practice address

2791 W 5TH St
Brooklyn, NY 11224-4624

Phone

(718) 449-5559

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Smile Dental, PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1083767222
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255413738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244624",
            "telephone_number": "718-449-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 W 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244624",
            "telephone_number": "718-449-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHRAKOVSKY",
        "first_name": "VADIM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01360109",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "5N3301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C1673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michel George Khoury, MD
• Mona Khoury
• Nidal Y Khoury, MD
• Talia Khoury
• Inna Khovov
• Irina Khrapatina, PSYD
• Igor Khrapko, PHARM.D.
• Viktoriia Khrapova
• Yuliya Khripunkova, LMSW
• Lyubava Khrishchanovich, PA-C

• 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.