Organization Active NPI

Quality Dental

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1487816435
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
048472 Issued in NY
Legal business name
QUALITY DENTAL
Practice address
2626 E 14TH St
Ste 206
Brooklyn, NY 11235-3966
Phone
(718) 256-3144
Fax
(718) 256-3181
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Oleg Cherezov, D.D.S.NPI 1538206404
Title
Owner
Phone
(718) 256-3144

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 048472 NY Primary

Addresses

Primary practice location

2626 E 14TH St
Ste 206
Brooklyn, NY 11235-3966

Mailing address

2626 E 14TH St
Ste 206
Brooklyn, NY 11235-3966
Phone (718) 256-3144

Other identifiers 1

IdentifierTypeStateIssuer
02052615MedicaidNY

National Provider Directory

National Provider Directory

Locations

2626 E 14th St
Ste 206
Brooklyn, NY 11235
Phone (718) 256-3144

Practitioners & affiliated clinicians

Practitioners 1

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": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1487816435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST",
            "address_2": "STE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353966",
            "telephone_number": "718-256-3144",
            "fax_number": "718-256-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST",
            "address_2": "STE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353966",
            "telephone_number": "718-256-3144",
            "fax_number": "718-256-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "CHEREZOV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-256-3144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "048472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02052615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Jul 1, 2008; 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.