Active NPI
M&M Dental Office,PC
- Dentist
- Brooklyn, NY
National Provider Identifier
1376793497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 033319
- Legal business name
- M&M DENTAL OFFICE,PC
- Practice address
- 106 Beverly Road
2ND Floor
Brooklyn, NY 11218 - Phone
- (171) 885-3577
- Fax
- (171) 885-3577
- NPI assigned
- Sep 25, 2008
- 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. Narendra Patel, DDS
- Title
- President
- Phone
- (718) 853-5777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 033319 | NY | Primary |
| Dentist | 122300000X | 49466 | NY |
Addresses
Primary practice location
106 Beverly Road
2ND Floor
Brooklyn, NY 11218
Mailing address
106 Beverley Rd
2ND Floor
Brooklyn, NY 11218-3900
Phone (171) 885-3577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01898360 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
106 Beverley Rd
Ste 2
Brooklyn, NY 11218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222300800000",
"number": "1376793497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 BEVERLEY RD",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183900",
"telephone_number": "171-885-3577",
"fax_number": "171-885-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BEVERLY ROAD",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218",
"telephone_number": "171-885-3577",
"fax_number": "171-885-3577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M&M DENTAL OFFICE,PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "NARENDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-853-5777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "033319",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "49466",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01898360",
"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 Sep 25, 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.