Active NPI
Margarita Degtyareva, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1497892657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050331
- Practice address
- 1725 Sheepshead Bay Rd
Brooklyn, NY 11235-3606 - Phone
- (718) 743-0299
- Fax
- (718) 743-1468
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050331 | NY | Primary |
Addresses
Primary practice location
1725 Sheepshead Bay Rd
Brooklyn, NY 11235-3606
Mailing address
1725 Sheepshead Bay Rd
Brooklyn, NY 11235-3606
Phone (718) 743-0299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050331 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restful Sleep Solution Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497892657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 SHEEPSHEAD BAY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353606",
"telephone_number": "718-743-0299",
"fax_number": "718-743-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 SHEEPSHEAD BAY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353606",
"telephone_number": "718-743-0299",
"fax_number": "718-743-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGTYAREVA",
"first_name": "MARGARITA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050331",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.