Organization Active NPI

Kensington Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1396904264
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044184 Issued in NY
Legal business name
KENSINGTON DENTAL PC
Practice address
217 Church Ave
Kensington Dental PC
Brooklyn, NY 11218
Phone
(718) 871-3636
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Leonid Levit, DDS
Title
Dentist
Phone
(718) 871-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 044184 NY Primary

Addresses

Primary practice location

217 Church Ave
Kensington Dental PC
Brooklyn, NY 11218

Mailing address

217 Church Ave
Kensington Dental PC
Brooklyn, NY 11218

Other identifiers 1

IdentifierTypeStateIssuer
01528692MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1396904264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CHURCH AVE",
            "address_2": "KENSINGTON DENTAL PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 CHURCH AVE",
            "address_2": "KENSINGTON DENTAL PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-871-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "LEVIT",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-871-3636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01528692",
            "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 Jun 5, 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.