Albert Khodosh DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

044992 Issued in NY

Legal business name

ALBERT KHODOSH DDS PC

Practice address

2085 E 27TH St
Brooklyn, NY 11229-5001

Phone

(718) 375-4269

Fax

(718) 769-6622

NPI assigned

Jul 22, 2011

Last updated

Jul 22, 2011By 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

Mr. Albert Khodosh, D.D.S.

Title

Dentist

Phone

(718) 375-4269

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1427336544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295001",
            "telephone_number": "718-375-4269",
            "fax_number": "718-769-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295001",
            "telephone_number": "718-375-4269",
            "fax_number": "718-769-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT KHODOSH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "KHODOSH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-375-4269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.