Individual provider Active NPI

Christopher O'Neal, D.D.S

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1457648545
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
057073 Issued in NY
Practice address
190 Cozine Ave
Ground FL
Brooklyn, NY 11207-8867
Phone
(718) 649-1398
NPI assigned
Jul 8, 2011
Last updated
Dec 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057073 NY Primary

Addresses

Primary practice location

190 Cozine Ave
Ground FL
Brooklyn, NY 11207-8867

Mailing address

190 Cozine Ave
Ground FL
Brooklyn, NY 11207-8867
Phone (718) 649-1398

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
057073NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cozine Dental Group PC Dentist Past Accepting new patients
Virendra Shah D.D.S. P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1457648545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 COZINE AVE",
            "address_2": "GROUND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078867",
            "telephone_number": "718-649-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COZINE AVE",
            "address_2": "GROUND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078867",
            "telephone_number": "718-649-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057073",
            "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 Dec 27, 2016; 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.