Organization Active NPI

M&M Dental Office,PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1376793497
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
033319 Issued in NY
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

Updated by the provider on Sep 25, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 033319 NY Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01898360MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.