Individual provider Active NPI

Mtichell David Mindlin, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1275803280
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035135 Issued in NY
Practice address
86 Pierrepont St
Brooklyn, NY 11201-2819
Phone
(718) 875-8088
NPI assigned
Jan 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 035135 NY Primary

Addresses

Primary practice location

86 Pierrepont St
Brooklyn, NY 11201-2819

Mailing address

86 Pierrepont St
Brooklyn, NY 11201-2819
Phone (718) 875-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405000310 NY Order and Referring Only - DentistPractitioner - Dentist 6608173745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035135NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Klein DDS and Mitchell Mindlin DDS Past Accepting new patients
Live Well Dental Services PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1275803280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PIERREPONT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012819",
            "telephone_number": "718-875-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 PIERREPONT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012819",
            "telephone_number": "718-875-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDLIN",
        "first_name": "MTICHELL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.