Giedris Klivecka, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

028826 Issued in NY

Practice address

408 77TH St
Suite A3
Brooklyn, NY 11209-3243

Phone

(718) 748-8695

Fax

(718) 748-8267

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 13, 2016 through May 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255544391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 77TH ST",
            "address_2": "SUITE A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093243",
            "telephone_number": "718-748-8695",
            "fax_number": "718-748-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 77TH ST",
            "address_2": "SUITE A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093243",
            "telephone_number": "718-748-8695",
            "fax_number": "718-748-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIVECKA",
        "first_name": "GIEDRIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "028826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kliot Obsetrictis & Gynecology PC
• Abigail Faye Klipper
• Basya Klitenick
• Avrohom C Klitnick
• Elemelech Klitnick
• Fiqirie Klobucista
• Anton Klochkov, D.O.
• Nadezhda Klochkova, LMSW
• Klodiana F. Margariti, D.D.S., P.C.
• Klopman LLC

• 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.