Individual provider Active NPI

Lucy Hovanisyan, DDS, MBA

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1316617970
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
063702 Issued in NY
Practice address
772 Grand St Ste 2
Brooklyn, NY 11211-5395
Phone
(718) 218-9494
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02867500 NJ
Dentist 122300000X DN25967 FL
Dentist 122300000X 063702 NY Primary

Addresses

Primary practice location

772 Grand St Ste 2
Brooklyn, NY 11211-5395

Mailing address

1 N 4TH PL Apt 11a
Brooklyn, NY 11249-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
DN25967FLMDDentist
22DI02867500NJMDDentist
063702NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanc Dental PLLC CurrentSince Sep 3, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1316617970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N 4TH PL APT 11A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 GRAND ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115395",
            "telephone_number": "718-218-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANISYAN",
        "first_name": "LUCY",
        "name_prefix": "Dr.",
        "credential": "DDS, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02867500",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25967",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063702",
            "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 Aug 26, 2025; 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.