Demo Dental, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

046369 Issued in NY

Legal business name

DEMO DENTAL, P.C.

Practice address

792 Flushing Ave
Brooklyn, NY 11206-4106

Phone

(718) 443-5500

Fax

(718) 443-5501

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

David Zilbert, DDS

Title

Administrator

Phone

(718) 443-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jose Napoleon Andrickson, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1184819757
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295892735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064106",
            "telephone_number": "718-443-5500",
            "fax_number": "718-443-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064106",
            "telephone_number": "718-443-5500",
            "fax_number": "718-443-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMO DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZILBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-443-5500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "046369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01662679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khachatur Demirchyan, M.D./D.O.
• Vera Demirjian
• Zaruhi Demirtshyan, M.S.ED
• Melat Demisse, MD.
• Adanna Demmin
• Democleia Gottesman MD PC
• Christine Demoor, MS, CCC-SLP
• Isabelle Elaine Demoss
• Shannon Demoss, OTR/L
• Lissa Demosthene

• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.