Active NPI
Tala Dental Care,P.C.
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1265658488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 046621
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 046621 | NY | |
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01705691 | Medicaid | NY |
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.