Jonathan Waltner, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

050835 Issued in NY

Practice address

300 8TH Ave
Brooklyn, NY 11215-3068

Phone

(718) 499-5323

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert Rosenkranz DDS PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1760997613
  NPD (past)

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417028531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 51ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041345",
            "telephone_number": "718-687-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153068",
            "telephone_number": "718-499-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTNER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "050835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02606040",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Walters, RN
• Natifa Renee Walters, LMSW
• Petagay Walters
• Suzanne Walters
• Tieisha Annmarie Walters
• Miriam Waltner
• Shara Elizabeth Walton-Coke, L.P.N
• Alicia J Walton, LMSW, MPA
• Chanele Walton
• Christal Walton

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.