Organization Active NPI

BK Smiling Dentistry PLLC

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1487288601
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Dr. Corey L Black, DMDNPI 1952839318
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL corey.black.2007@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.