Active NPI
Richard L. Oshrain, D.M.D.
- Periodontics
- Brooklyn, NY
National Provider Identifier
1316948219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 36234
- Practice address
- 2270 Kimball St
Suite 211
Brooklyn, NY 11234-5139 - Phone
- (718) 253-3300
- Fax
- (718) 253-3301
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 36234 | NY | Primary |
Addresses
Primary practice location
2270 Kimball St
Suite 211
Brooklyn, NY 11234-5139
Mailing address
2270 Kimball St
Suite 211
Brooklyn, NY 11234-5139
Phone (718) 253-3300
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141124001822 | NY | Order and Referring Only - Oral Surgery | 5395067672 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36234 | NY | MD | Periodontist |
| 036234 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316948219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 KIMBALL ST",
"address_2": "SUITE 211",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345139",
"telephone_number": "718-253-3300",
"fax_number": "718-253-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 KIMBALL ST",
"address_2": "SUITE 211",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345139",
"telephone_number": "718-253-3300",
"fax_number": "718-253-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSHRAIN",
"first_name": "RICHARD",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "36234",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.