Park Dental Care of Brooklyn PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044129 Issued in NY

Legal business name

PARK DENTAL CARE OF BROOKLYN PLLC

Practice address

1502 E 14TH St
Brooklyn, NY 11230-7148

Phone

(718) 376-6006

Fax

(718) 376-7339

NPI assigned

Apr 9, 2007

Last updated

Jul 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Oleg Klempner, DDS

Title

Dentist

Phone

(718) 376-6006

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1427171966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307148",
            "telephone_number": "718-376-6006",
            "fax_number": "718-376-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307148",
            "telephone_number": "718-376-6006",
            "fax_number": "718-376-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL CARE OF BROOKLYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "KLEMPNER",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-376-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01380441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Park Dentistry
• Park Family Acupuncture PC
• Park Home Care Inc.
• Park Optical Inc
• Park Optics LLC

• 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 Jul 18, 2012; 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.