Organization Active NPI

Wellspring Dental PLLC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1295290351
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WELLSPRING DENTAL PLLC
Practice address
441 Clinton St
Brooklyn, NY 11231-3404
Phone
(718) 625-2929
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Dr. Mitchell Zientz, DMD
Title
Member
Phone
(718) 625-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

441 Clinton St
Brooklyn, NY 11231-3404

Mailing address

441 Clinton St
Brooklyn, NY 11231-3404
Phone (718) 625-2929

Other practice location 1

1667 Lexington Ave
New York, NY 10029-4962
Phone (212) 289-4131

National Provider Directory

National Provider Directory

Locations

441 Clinton St
Brooklyn, NY 11231
Phone (718) 625-2929

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1295290351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313404",
            "telephone_number": "718-625-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313404",
            "telephone_number": "718-625-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1667 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100294962",
            "country_code": "US",
            "telephone_number": "212-289-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPRING DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "ZIENTZ",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-625-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2019; 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.