Active NPI
Neighborhood Dentistry PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1326319153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 045344
- Legal business name
- NEIGHBORHOOD DENTISTRY PC
- Practice address
- 275 Avenue X
Brooklyn, NY 11223-5956 - Phone
- (718) 645-7000
- Fax
- (718) 645-7211
- NPI assigned
- Jan 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emil Blank, DDS
- Title
- Dentist
- Phone
- (718) 645-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 045344 | NY | Primary |
Addresses
Primary practice location
275 Avenue X
Brooklyn, NY 11223-5956
Mailing address
275 Avenue X
Brooklyn, NY 11223-5956
Phone (718) 645-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1485996 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327449600000",
"number": "1326319153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235956",
"telephone_number": "718-645-7000",
"fax_number": "718-645-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235956",
"telephone_number": "718-645-7000",
"fax_number": "718-645-7211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A",
"authorized_official_last_name": "BLANK",
"authorized_official_first_name": "EMIL",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "718-645-7000",
"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": "045344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1485996",
"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 Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.