Organization Active NPI

Tilden Family Dental Services P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1447424080
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042813 Issued in NY
Legal business name
TILDEN FAMILY DENTAL SERVICES P.C.
Practice address
5624 Tilden Ave
Brooklyn, NY 11203-4820
Phone
(718) 451-5012
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Curtis Davis, D.D.S.NPI 1801887542
Title
Ceo
Phone
(718) 451-5012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 042813 NY Primary

Addresses

Primary practice location

5624 Tilden Ave
Brooklyn, NY 11203-4820

Mailing address

5624 Tilden Ave
Brooklyn, NY 11203-4820

Other identifiers 1

IdentifierTypeStateIssuer
01238242MedicaidNY

National Provider Directory

National Provider Directory

Locations

5624 Tilden Ave
Brooklyn, NY 11203
Phone (718) 451-5012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1447424080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 TILDEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 TILDEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034820",
            "telephone_number": "718-451-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILDEN FAMILY DENTAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-451-5012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01238242",
            "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 Apr 15, 2008; 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.