Active NPI
Interned Dental Systems PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1447367511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02339302 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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": []
}
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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.