Organization Active NPI

Gregory J Haskin DDS PC

Doing business as Kings Highway Dental

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1275793317
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0399641 Issued in NY
Legal business name
GREGORY J HASKIN DDS PC
Doing business as
Kings Highway Dental
Practice address
4571 Kings Hwy
Brooklyn, NY 11234-2025
Phone
(718) 692-4791
Fax
(718) 692-3362
NPI assigned
Jun 12, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Gregory Jerome Haskin, DDSNPI 1568444057
Title
President
Phone
(718) 692-4791

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0399641 NY Primary
Dentist 122300000X 0399641 NY

Addresses

Primary practice location

4571 Kings Hwy
Brooklyn, NY 11234-2025

Mailing address

4571 Kings Hwy
Brooklyn, NY 11234-2025
Phone (718) 692-4791

Other names 1

  • Kings Highway Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4571 Kings Hwy
Brooklyn, NY 11234
Phone (718) 692-4791

Practitioners & affiliated clinicians

Practitioners 1

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": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1275793317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342025",
            "telephone_number": "718-692-4791",
            "fax_number": "718-692-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4571 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342025",
            "telephone_number": "718-692-4791",
            "fax_number": "718-692-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J HASKIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HASKIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-692-4791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "0399641",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0399641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Highway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2008; 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.