Live Well Dental Services PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

50111243 Issued in NY

Legal business name

LIVE WELL DENTAL SERVICES PLLC

Practice address

86 Pierrepont St
Brooklyn, NY 11201-2819

Phone

(718) 875-8088

NPI assigned

Oct 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Tavelin, DDSNPI 1386840734

Title

Sole Member

Phone

(917) 309-3961

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Tavelin, D.D.S.

  • Dentist
  • Bronx, NY
  • NPI 1386840734
  NPD (past) Authorized official
• Mtichell David Mindlin, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1275803280
  NPD (past)

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475971200000",
    "number": "1346790813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BRIDGE ST APT 3O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013802",
            "telephone_number": "917-309-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 PIERREPONT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012819",
            "telephone_number": "718-875-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2016-10-09",
        "status": "A",
        "authorized_official_last_name": "TAVELIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "917-309-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "50111243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Chiropractic, P.C.
• Live Good Pharmacy Inc
• Live Life Rehab Occupational Therapy Services PC
• Live Life Rehab Services LLC
• Live Well Brooklyn, Mental Health Counseling, PLLC
• Live Well Medical Care, PC
• Live Wise Nutrition PLLC
• Livecare Transportation LLC
• Charlene Liverpool, LPN
• Dulcie Liverpool

• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2016; 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.