Active NPI
Vera Kuznetsova Dental Care PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1497801955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048358-1
- Legal business name
- VERA KUZNETSOVA DENTAL CARE PC
- Practice address
- 2092 Coney Island Ave
Brooklyn, NY 11223-2308 - Phone
- (718) 336-5959
- Fax
- (718) 998-8547
- NPI assigned
- Jan 26, 2007
- 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
- Vera Kuznetsova, D.D.S.
- Title
- General Dentist
- Phone
- (718) 336-5959
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048358-1 | NY | Primary |
Addresses
Primary practice location
2092 Coney Island Ave
Brooklyn, NY 11223-2308
Mailing address
2092 Coney Island Ave
Brooklyn, NY 11223-2308
Phone (718) 336-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01975295 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1538184866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497801955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2092 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232308",
"telephone_number": "718-336-5959",
"fax_number": "718-998-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2092 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232308",
"telephone_number": "718-336-5959",
"fax_number": "718-998-8547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERA KUZNETSOVA DENTAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KUZNETSOVA",
"authorized_official_first_name": "VERA",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "718-336-5959",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048358-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01975295",
"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 Aug 22, 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.