Broadway Family Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROADWAY FAMILY DENTAL P.C.

Practice address

1152 Broadway
Brooklyn, NY 11221-3002

Phone

(718) 455-4400

NPI assigned

May 20, 2013

Organization subpart

No

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

Authorized official

Name

Andrey Ivanov, DDS

Title

Owner

Phone

71804554400

Specialties & licenses 1

Addresses

Practitioners 1

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

• Maritere Zamora, DMD

  • Dentist
  • Culver City, CA
  • NPI 1861055840
  NPD (past)

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1457797318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213002",
            "telephone_number": "718-455-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213002",
            "telephone_number": "718-455-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "71804554400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brmi @ Midwood
• Brmi @ Sunset Park
• Broadway Care Inc.
• Broadway Dental Arts PC
• Broadway Dental Health Boutique,P.C.
• Broadway Pharmacy Inc
• Broadway RX LLC
• Julie Katherine Broadway-Spinner, PMHNP, RN-BC
• Kayla Jane Broady, LMSW
• Jessica Brobbey, NURSE

• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.