Active NPI
Healthy Teeth Dental PC
- Dentist
- Brooklyn, NY
National Provider Identifier
1255699187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052119
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander Lezhansky, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02662999 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1972640050
-
- Dentist
- Brooklyn, NY
- NPI 1497861546
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
- Healthy Smiles Pediatric Dentistry PLLC
- Healthy Start Homecare Agency, LLC
- Healthy Step
- Healthy Step
- Healthy Step Podiatry, P.C.
- Healthy Textures Hair Clinic LLC
- Healthy Textures Hair Clinic LLC (Treat Style Repeat)
- Healthy Therapeutics Medical Practice PLLC
- Healthy-Way Pharmacy Inc (Anh Pharmacy)
- Allyson Marie Healy, MS, CCC-SLP
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.