NPIMap

Organization Active NPI

Igor Klebanov DDS PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1326322389
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045540 Issued in NY
Legal business name
IGOR KLEBANOV DDS PC
Practice address
7913 Bay Pkwy
#A-1
Brooklyn, NY 11214-1959
Phone
(718) 234-9014
Fax
(718) 234-7771
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Dr. Igor KlebanovNPI 1376532671
Title
DDS
Phone
(718) 234-9014

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 045540 NY Primary

Addresses

Primary practice location

7913 Bay Pkwy
#A-1
Brooklyn, NY 11214-1959

Mailing address

7913 Bay Pkwy
#A-1
Brooklyn, NY 11214-1959
Phone (718) 234-9014

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": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1326322389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 BAY PKWY",
            "address_2": "#A-1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141959",
            "telephone_number": "718-234-9014",
            "fax_number": "718-234-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 BAY PKWY",
            "address_2": "#A-1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141959",
            "telephone_number": "718-234-9014",
            "fax_number": "718-234-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR KLEBANOV DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "KLEBANOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "718-234-9014",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045540",
            "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 Oct 7, 2011; 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.