Individual provider Active NPI

Nandor Halpert, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1447240064
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050791-1 Issued in NY
Practice address
2811 Ocean Ave
Suite 2
Brooklyn, NY 11229-4721
Phone
(718) 648-8026
Fax
(718) 648-8499
NPI assigned
Oct 25, 2005
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 050791-1 NY Primary

Addresses

Primary practice location

2811 Ocean Ave
Suite 2
Brooklyn, NY 11229-4721

Mailing address

2749 E 63Rd St
Brooklyn, NY 11234-6813
Phone (718) 975-2609

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
I20160630000727 NY Order and Referring Only - DentistPractitioner - Dentist 6709178346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050791-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Avenue X Dental PLLC Dentist Past Accepting new patients

Organizations & group practices 1

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1447240064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 E 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346813",
            "telephone_number": "718-975-2609",
            "fax_number": "718-648-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 OCEAN AVE",
            "address_2": "SUITE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294721",
            "telephone_number": "718-648-8026",
            "fax_number": "718-648-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERT",
        "first_name": "NANDOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.