Brighton Dental Practice LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BRIGHTON DENTAL PRACTICE LLC

Practice address

3019 Brighton 1St St
Brooklyn, NY 11235-8008

Phone

(718) 366-0070

NPI assigned

Nov 21, 2021

Organization subpart

No

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

Authorized official

Name

Alexander Musheyev, DDS

Title

Partner

Phone

(718) 366-0070

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 3

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

• Geena Marie Bell, DDS

  • Pediatric Dentistry
  • Staten Island, NY
  • NPI 1184217754
  NPD (past)
• Yijiao Fan, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Flushing, NY
  • NPI 1336595057
  NPD (past)
• Paul Li, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Flushing, NY
  • NPI 1679702575
  NPD (past)

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1306503792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 BRIGHTON 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358008",
            "telephone_number": "718-366-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 BRIGHTON 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358008",
            "telephone_number": "718-366-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON DENTAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "MUSHEYEV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-366-0070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DentrixAscend",
            "affiliation": "N",
            "address_1": "3019 Brighton 1st St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112358008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brighton Beach Medical, P.C.
• Brighton Beach Podiatry PLLC
• Brighton Community Medical
• Brighton Community Medical P.C.
• Brighton Custom Supply Inc
• Brighton Home Care
• Brighton Home Care
• Brighton Medical Care Ny PLLC
• Brighton Medical Care PLLC
• Brighton Medical Diagnostic

• Oral and Maxillofacial Surgery (Dentist) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.