NPIMap

Organization Active NPI

Dr. K. Dental P.C.

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1487147757
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. K. DENTAL P.C.
Practice address
145 E 15TH St Apt 1E
New York, NY 10003-3532
Phone
(212) 475-7947
Fax
(212) 475-7952
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Sergey Kuznetsov, DDSNPI 1164641122
Title
Vice President
Phone
(212) 475-7947

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

145 E 15TH St Apt 1E
New York, NY 10003-3532

Mailing address

145 E 15TH St Apt 1E
New York, NY 10003-3532
Phone (212) 475-7947

Other practice location 1

65 Oriental Boulevard, LBB
Brooklyn, NY 11235
Phone (718) 769-6777

Other names 1

  • S & M Dental P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

145 E 15th St
Apt 1E
New York, NY 10003
Phone (212) 275-7947

Practitioners & affiliated clinicians

Practitioners 4

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": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1487147757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033532",
            "telephone_number": "212-475-7947",
            "fax_number": "212-475-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033532",
            "telephone_number": "212-475-7947",
            "fax_number": "212-475-7952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Oriental Boulevard, LBB",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11235",
            "country_code": "US",
            "telephone_number": "718-769-6777",
            "fax_number": "718-769-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. K. DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "KUZNETSOV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "212-475-7947",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & M Dental P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "S & M Dental P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.