Active NPI
BK Smiling Dentistry PLLC
- Dental Clinic/Center
- Brooklyn, NY
National Provider Identifier
1487288601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BK SMILING DENTISTRY PLLC
- Practice address
- 1035 Fulton St Ste 1
Brooklyn, NY 11238-5276 - Phone
- (717) 395-3144
- NPI assigned
- Feb 26, 2020
- Last updated
- Feb 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Corey L Black, DMD
- Title
- Dentist/ Owner
- Phone
- (717) 395-3144
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
1035 Fulton St Ste 1
Brooklyn, NY 11238-5276
Mailing address
1035 Fulton St.
Ste 1, PO Box 380530
Brooklyn, NY 11238
Phone (717) 395-3144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | corey.black.2007@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
1035 Fulton St
Ste 1
Brooklyn, NY 11238
Phone (347) 391-4279
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1952839318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582675200000",
"number": "1487288601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 FULTON ST.",
"address_2": "STE 1, PO BOX 380530",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11238",
"telephone_number": "717-395-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 FULTON ST STE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112385276",
"telephone_number": "717-395-3144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BK SMILING DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "COREY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DENTIST/ OWNER",
"authorized_official_telephone_number": "717-395-3144",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "corey.black.2007@gmail.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "secure email",
"address_1": "1035 Fulton St Ste 1",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112385276",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 26, 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.