United Dental Services of Ny

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0466662 Issued in NY

Legal business name

UNITED DENTAL SERVICES OF NY

Practice address

1505 Gravesend Neck Rd
Brooklyn, NY 11229

Phone

(718) 336-6321

Fax

(718) 627-2129

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Valentin Baxman, DDS

Title

Dentist

Phone

(718) 336-6321

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558444232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-336-6321",
            "fax_number": "718-627-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-336-6321",
            "fax_number": "718-627-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL SERVICES OF NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAXMAN",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-336-6321",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0466662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• United Community Services, Inc.
• United Consulting Services LCSW PLLC
• United Diagnostic Imaging PC
• United Diagnostic Services LLC
• United Hands Organization, Inc.
• United Hands Organization, Inc.
• United Heart Monitoring Inc.

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• 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.

Verify at the official NPI Registry.