Organization Active NPI

Healthy Teeth Dental PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1255699187
Registry record updated Apr 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052119 Issued in NY
Legal business name
HEALTHY TEETH DENTAL PC
Practice address
3060 Ocean Ave
Suite LN
Brooklyn, NY 11235-3310
Phone
(718) 615-2272
NPI assigned
Apr 28, 2012
Last updated
Apr 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2012

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

Authorized official

Name
Dr. Alexander Lezhansky, DDSNPI 1972640050
Title
President
Phone
(718) 615-2272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052119 NY Primary

Addresses

Primary practice location

3060 Ocean Ave
Suite LN
Brooklyn, NY 11235-3310

Mailing address

3060 Ocean Ave
Suit LN
Brooklyn, NY 11235-3310
Phone (718) 615-2272

Other identifiers 1

IdentifierTypeStateIssuer
02662999MedicaidNY

National Provider Directory

National Provider Directory

Locations

3060 Ocean Ave
Ste Ln
Brooklyn, NY 11235
Phone (718) 615-2272

Practitioners & affiliated clinicians

Practitioners 2

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": "1335571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335571200000",
    "number": "1255699187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 OCEAN AVE",
            "address_2": "SUIT LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353310",
            "telephone_number": "718-615-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 OCEAN AVE",
            "address_2": "SUITE LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353310",
            "telephone_number": "718-615-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY TEETH DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-28",
        "last_updated": "2012-04-28",
        "status": "A",
        "authorized_official_last_name": "LEZHANSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-615-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02662999",
            "state": "NY"
        }
    ],
    "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 Apr 28, 2012; 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.