NPIMap

Organization Active NPI

Dental Star

  • Health Maintenance Organization
  • Brooklyn, NY
National Provider Identifier
1366614455
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
051368 Issued in NY
Legal business name
DENTAL STAR
Practice address
726 Avenue Z
Brooklyn, NY 11223-6322
Phone
(718) 368-1800
Fax
(732) 972-7705
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Vladimir A Potepalov
Title
Dentist
Phone
(718) 368-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 051368 NY Primary

Addresses

Primary practice location

726 Avenue Z
Brooklyn, NY 11223-6322

Mailing address

726 Avenue Z
Brooklyn, NY 11223-6322
Phone (718) 368-1800

National Provider Directory

National Provider Directory
Tax ID family
Dental Star2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1366614455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236322",
            "telephone_number": "718-368-1800",
            "fax_number": "732-972-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236322",
            "telephone_number": "718-368-1800",
            "fax_number": "732-972-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL STAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "POTEPALOV",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-368-1800"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "051368",
            "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 Mar 28, 2008; 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.