Individual provider Active NPI

Vladimir Dranovsky, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1427046440
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI20129 Issued in NJ
Practice address
425 Neptune Ave Apt 18D
Brooklyn, NY 11224-4582
Phone
(646) 371-0111
NPI assigned
Oct 13, 2005
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047116 NY
Dentist 122300000X DI20129 NJ Primary

Addresses

Primary practice location

425 Neptune Ave Apt 18D
Brooklyn, NY 11224-4582

Mailing address

2952 Brighton 3Rd St Ste 201
Brooklyn, NY 11235-7078
Phone (718) 975-4334

Other practice location 1

175 Newark Ave
Grove Street Dental, P.C. 2-nd floor, suite 2-B
Jersey City, NJ 07302-2859
Phone (201) 200-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001415 NY Practitioner - Oral Surgery 6709870280 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI20129NJMDDentist
047116NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grove Street Dental PC PastSince Nov 9, 2004 Accepting new patients
Grove Street Dental Care PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1427046440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357078",
            "telephone_number": "718-975-4334",
            "fax_number": "718-947-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NEPTUNE AVE APT 18D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244582",
            "telephone_number": "646-371-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Newark Ave",
            "address_2": "Grove Street Dental, P.C. 2-nd floor, suite 2-B",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073022859",
            "country_code": "US",
            "telephone_number": "201-200-0222",
            "fax_number": "201-435-7678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRANOVSKY",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047116",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI20129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.