Individual provider Active NPI

Betzalel Krasnow, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1457092876
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
063212 Issued in NY
Practice address
549 Myrtle Ave
Brooklyn, NY 11205-2630
Phone
(718) 603-9093
NPI assigned
Apr 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 063212 NY
General Practice Dentistry 1223G0001X DN27631 FL
General Practice Dentistry 1223G0001X 063212 NY Primary

Addresses

Primary practice location

549 Myrtle Ave
Brooklyn, NY 11205-2630

Mailing address

549 Myrtle Ave
Brooklyn, NY 11205-2630
Phone (718) 603-9093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
063212NYMDDentist
DN27631FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Nyc Dental PLLC General Practice Current Accepting new patients
Baal Shain Tov Dentistry PLLC General Practice CurrentSince Feb 25, 2024 Accepting new patients

Locations

549 Myrtle Ave
Brooklyn, NY 11205
Phone (718) 603-9093

Interoperability endpoints

  • Direct secure messaging: betzalel.krasnow.p1@direct.ezramedical.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1457092876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052630",
            "telephone_number": "718-603-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052630",
            "telephone_number": "718-603-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNOW",
        "first_name": "BETZALEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063212",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27631",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063212",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 21, 2024; 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.