NPIMap

Organization Active NPI

Shore Dental Care, P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1336373489
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048297 Issued in NY
Legal business name
SHORE DENTAL CARE, P.C.
Practice address
81 Willoughby Street, 4TH Floor
Brooklyn, NY 11201
Phone
(718) 646-2828
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Ms. Victoria Shklovsky, D.D.S.NPI 1316077407
Title
President
Phone
(718) 646-2828

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
Dentist 122300000X 048297 NY Primary

Addresses

Primary practice location

81 Willoughby Street, 4TH Floor
Brooklyn, NY 11201

Mailing address

301 Oriental Blvd, Suite# 2B
Brooklyn, NY 11235
Phone (718) 646-2828

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1336373489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ORIENTAL BLVD, SUITE# 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-646-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WILLOUGHBY STREET, 4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-646-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "SHKLOVSKY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-646-2828",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048297",
            "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 May 5, 2009; 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.