CJK Smiles Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CJK SMILES DENTAL, P.C.

Practice address

7510 4TH Ave
Suite 1
Brooklyn, NY 11209-3244

Phone

(718) 232-9559

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Boulos, D.D.S

Title

Owner

Phone

(718) 232-9559

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1528507647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093244",
            "telephone_number": "718-232-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJK SMILES DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BOULOS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-232-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.