Organization Active NPI

Vita Dental P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1457523565
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047852 Issued in NY
Legal business name
VITA DENTAL P.C.
Practice address
226 Livingston St
Brooklyn, NY 11201-5877
Phone
(718) 596-0066
Fax
(718) 596-0756
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Victoria Bond, D.D.S.NPI 1215029244
Title
President
Phone
(718) 596-0066

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 047852 NY Primary

Addresses

Primary practice location

226 Livingston St
Brooklyn, NY 11201-5877

Mailing address

226 Livingston St
Brooklyn, NY 11201-5877
Phone (718) 596-0066

Other identifiers 1

IdentifierTypeStateIssuer
02117586MedicaidNY

National Provider Directory

National Provider Directory

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1457523565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015877",
            "telephone_number": "718-596-0066",
            "fax_number": "718-596-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015877",
            "telephone_number": "718-596-0066",
            "fax_number": "718-596-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-596-0066",
        "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": "047852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02117586",
            "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 Mar 28, 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.