NPIMap

Organization Active NPI

Dental Health PC

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1558555458
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
050057 Issued in NY
Legal business name
DENTAL HEALTH PC
Practice address
1328 47TH St
Brooklyn, NY 11219-2611
Phone
(718) 435-4515
Fax
(718) 435-4472
NPI assigned
Sep 4, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Vadim Leybovich, DDSNPI 1356487359
Title
President
Phone
(718) 435-4515

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 050057 NY Primary

Addresses

Primary practice location

1328 47TH St
Brooklyn, NY 11219-2611

Mailing address

1328 47TH St
Brooklyn, NY 11219-2611
Phone (718) 435-4515

National Provider Directory

National Provider Directory

Locations

1328 47th St
Brooklyn, NY 11219
Phone (718) 435-4515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1558555458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 47TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192611",
            "telephone_number": "718-435-4515",
            "fax_number": "718-435-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 47TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192611",
            "telephone_number": "718-435-4515",
            "fax_number": "718-435-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "LEYBOVICH",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-435-4515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "050057",
            "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 Sep 4, 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.

Verify at the official NPI Registry.