Jonathan S. Waltner DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JONATHAN S. WALTNER DDS PC

Doing business as

Williamsburg Pediatric Dental

Practice address

390 Berry St Ste B
Brooklyn, NY 11249-6086

Phone

(718) 218-7210

Fax

(718) 218-7387

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Waltner

Title

Owner

Phone

(718) 218-7210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Williamsburg Pediatric Dental Doing business as

Practitioners 3

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

• Levi Yechiel Grosser, D.M.D.

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1598257339
  NPD
• Aaron Akhavan, DMD

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1144888520
  NPD (past)
• Nathaniel Wieder

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
  • NPI 1528424165
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1457960072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BERRY ST STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496086",
            "telephone_number": "718-218-7210",
            "fax_number": "718-218-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BERRY ST STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496086",
            "telephone_number": "718-218-7210",
            "fax_number": "718-218-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S. WALTNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "WALTNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-218-7210",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02606040",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan N Lazare MD PC
• Jonathan N Lazare Urology PC
• Jonathan Orgel PT PLLC
• Jonathan S Leibowitz,MD,PC
• Jonathan S Thurm Dpmpc
• Donna Jones Reid, BS
• Margaret Jones Smith
• Marsha Jones Wilson
• Margaret Jones-Adams
• Jennifer Jones-Belgrave

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.