Organization Active NPI

Pacific Dental Care, P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1306901095
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052098 Issued in NY
Legal business name
PACIFIC DENTAL CARE, P.C.
Practice address
105 Smith St
Brooklyn, NY 11201-5773
Phone
(347) 628-7548
NPI assigned
Dec 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Ivan Nichoals Chaplik, DDSNPI 1144491747
Title
Owner
Phone
(347) 628-7548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 052098 NY Primary

Addresses

Primary practice location

105 Smith St
Brooklyn, NY 11201-5773

Mailing address

621 Avenue Z Apt 5K
Brooklyn, NY 11223-6327

Other identifiers 1

IdentifierTypeStateIssuer
02736583MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1306901095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 AVENUE Z APT 5K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015773",
            "telephone_number": "347-628-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "CHAPLIK",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "NICHOALS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-628-7548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736583",
            "state": "NY"
        }
    ],
    "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 Mar 21, 2008; 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.