Dentist on Broadway, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTIST ON BROADWAY, PLLC

Doing business as

Toothology

Practice address

42A Broadway
Brooklyn, NY 11249-5907

Phone

(718) 678-3800

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Joshua Shaffer, DDSNPI 1043579857

Title

Owner/Managing Director

Phone

(516) 660-9341

Specialties & licenses 1

Addresses

Other names 1

• Toothology Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Shaffer, D.D.S.

  • General Practice Dentistry
  • Merrick, NY
  • NPI 1043579857
  NPD Authorized official
• Kristina Bekiyants, DDS

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1972201333
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1477394484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42A BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112495907",
            "telephone_number": "718-678-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42A BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112495907",
            "telephone_number": "718-678-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST ON BROADWAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "516-660-9341",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toothology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC
• Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC
• Dental Specialty Associates PC
• Dental Star
• Dentist on Avenue T
• Alyson Rosemary Dentz, LMSW
• Mekonnen Alemayehu Denu, MD
• Nicole Lynn Denuccio, RN, CNM
• Cheyenne Denudt
• Maryna Denysova, RPA-C

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.