Individual provider Active NPI

Georgia Dellas, DMD

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1649615261
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0576251 Issued in NY
Practice address
530 Bay Ridge Pkwy
Brooklyn, NY 11209-3310
Phone
(646) 235-5041
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0576251 NY Primary

Addresses

Primary practice location

530 Bay Ridge Pkwy
Brooklyn, NY 11209-3310

Mailing address

530 Bay Ridge Pkwy
Brooklyn, NY 11209-3310
Phone (646) 235-5041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421001807 NY Order and Referring Only - DentistPractitioner - Dentist 3476852666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0576251NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dellas Dental General Practice CurrentSince Mar 30, 2025 Accepting new patients

Locations

530 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 836-2228

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1649615261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093310",
            "telephone_number": "646-235-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093310",
            "telephone_number": "646-235-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAS",
        "first_name": "GEORGIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0576251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.