Organization Active NPI

Interned Dental Systems PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1447367511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INTERNED DENTAL SYSTEMS PC
Practice address
1849 86TH Street
Intermed Dental Systems PC
Brooklyn, NY 11214-3108
Phone
(718) 256-0800
Fax
(718) 621-6444
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alexander Heifite, DDS
Title
Owner Dentist
Phone
(718) 256-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NY Primary

Addresses

Primary practice location

1849 86TH Street
Intermed Dental Systems PC
Brooklyn, NY 11214-3108

Mailing address

1849 86TH Street
Intermed Dental Systems PC
Brooklyn, NY 11214-3108
Phone (718) 256-0800

Other identifiers 1

IdentifierTypeStateIssuer
02339302MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447367511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 86TH STREET",
            "address_2": "INTERMED DENTAL SYSTEMS PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143108",
            "telephone_number": "718-256-0800",
            "fax_number": "718-621-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 86TH STREET",
            "address_2": "INTERMED DENTAL SYSTEMS PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143108",
            "telephone_number": "718-256-0800",
            "fax_number": "718-621-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNED DENTAL SYSTEMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIFITE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "718-256-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02339302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.