NPIMap

Organization Active NPI

Dental Care PLLC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1609009786
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052818 Issued in NY
Legal business name
DENTAL CARE PLLC
Practice address
120 Nassau Ave
Brooklyn, NY 11222-4024
Phone
(718) 490-2846
NPI assigned
Aug 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Irina Fuzaylova, DDSNPI 1720266380
Title
Owner of Corporation
Phone
(718) 490-2846

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052818 NY Primary

Addresses

Primary practice location

120 Nassau Ave
Brooklyn, NY 11222-4024

Mailing address

6909 138TH St
Apt#2C
Flushing, NY 11367-1603
Phone (718) 490-2846

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1609009786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 138TH ST",
            "address_2": "APT#2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671603",
            "telephone_number": "718-490-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224024",
            "telephone_number": "718-490-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "FUZAYLOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER OF CORPORATION",
        "authorized_official_telephone_number": "718-490-2846",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052818",
            "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 Aug 24, 2009; 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.