Individual provider Active NPI

Zakhar Kreyman, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1295871390
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046779-1 Issued in NY
Practice address
2001 Avenue P Apt A2
Brooklyn, NY 11229-1420
Phone
(718) 376-7820
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 046779-1 NY Primary

Addresses

Primary practice location

2001 Avenue P Apt A2
Brooklyn, NY 11229-1420

Mailing address

2001 Avenue P Apt A1
Brooklyn, NY 11229-1420
Phone (718) 376-7820

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
I20160224000407 NY Order and Referring Only - DentistPractitioner - Dentist 6507161841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046779-1NYMDGeneral Practice Dentistry
046779NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 AVENUE P APT A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291420",
            "telephone_number": "718-376-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 AVENUE P APT A2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291420",
            "telephone_number": "718-376-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREYMAN",
        "first_name": "ZAKHAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046779-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.