Flatbush Family Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045549 Issued in NY

Legal business name

FLATBUSH FAMILY DENTAL CARE

Practice address

789 Flatbush Avenue
Brooklyn, NY 11226

Phone

(718) 693-5455

Fax

(718) 693-7337

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Isaak Grinman, DDS

Title

President

Phone

(718) 693-5455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1417194119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 FLATBUSH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-693-5455",
            "fax_number": "718-693-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 FLATBUSH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-693-5455",
            "fax_number": "718-693-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATBUSH FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-693-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01512867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flatbush Doulas Inc
• Flatbush Express Optical, Inc
• Flatbush Express Pharmacy, Inc.
• Flatbush Eye Care Inc
• Flatbush Eyecare Associates Inc.
• Flatbush Family Medicine, P.C.
• Flatbush Health Art Medical P.C.
• Flatbush Medical Care PC
• Flatbush Medical Heights Services P.C.
• Flatbush Medical PC

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.