Organization Active NPI

Tala Dental Care,P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1265658488
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046621 Issued in NY
Legal business name
TALA DENTAL CARE,P.C.
Practice address
2211 Ocean Ave.
First Floor
Brooklyn, NY 11229-2303
Phone
(718) 376-1090
NPI assigned
Apr 17, 2007
Organization subpart
Yes
Parent organization
TALA DENTAL CARE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. Nataliya I Safonova, DDS
Title
President
Phone
(718) 376-1090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 046621 NY
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 046621 NY Primary

Addresses

Primary practice location

2211 Ocean Ave.
First Floor
Brooklyn, NY 11229-2303

Mailing address

2211 Ocean Ave.
First Floor
Brooklyn, NY 11229-2303
Phone (718) 376-1090

Other identifiers 1

IdentifierTypeStateIssuer
01705691MedicaidNY

National Provider Directory

National Provider Directory
Part of
Tala Dental Carepc

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1265658488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 OCEAN AVE.",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-376-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 OCEAN AVE.",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-376-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALA DENTAL CARE,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALA DENTAL CARE, P.C.",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "SAFONOVA",
        "authorized_official_first_name": "NATALIYA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-376-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046621",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01705691",
            "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 Aug 26, 2010; 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.