Mykola Krylyuk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11420 Issued in CT

Practice address

1681 65TH St Apt C5
Brooklyn, NY 11204-3644

Phone

(718) 314-5475

NPI assigned

Jun 20, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MK Smile Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1225693724
  NPD Authorized official

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434758400000",
    "number": "1598147019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 65TH ST APT C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043644",
            "telephone_number": "718-314-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 65TH ST APT C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043644",
            "telephone_number": "718-314-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYLYUK",
        "first_name": "MYKOLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "11420",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Krutko
• Vyacheslav Krutoy, RRT
• Yuliana Krutoy, SLP
• Alla Kruz
• Vadim Kruzhkov
• Irina Krym, M.D.
• Gitty Kryman
• Kori Krysh, CBC
• Jana Krystofova, M.D., PHD
• Aksana Kryvulko

• 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 Jun 20, 2015; 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.