Active NPI
Robert J Mikhli, D.D.S.
- Dentist
- Brooklyn, NY
National Provider Identifier
1659533834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054462
- Practice address
- 1711 Avenue P
Brooklyn, NY 11229-1381 - Phone
- (718) 376-9600
- NPI assigned
- Jun 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054462 | NY | Primary |
Addresses
Primary practice location
1711 Avenue P
Brooklyn, NY 11229-1381
Mailing address
1636 E 14TH St
Suite 123
Brooklyn, NY 11229-1100
Phone (718) 376-9600
Other practice location 1
1636 E 14th St
Suite 123
Brooklyn, NY 11229-1100
Phone (718) 376-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054462 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Mikhli DDS PC | Dentist | Current | Accepting new patients |
Locations
1636 E 14th St
Ste 123
Brooklyn, NY 11229
Phone (718) 375-9090
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.
-
- Dentist
- Brooklyn, NY
- NPI 1841067550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1659533834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 E 14TH ST",
"address_2": "SUITE 123",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291100",
"telephone_number": "718-376-9600",
"fax_number": "718-376-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291381",
"telephone_number": "718-376-9600"
}
],
"practiceLocations": [
{
"address_1": "1636 E 14th St",
"address_2": "Suite 123",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291100",
"country_code": "US",
"telephone_number": "718-376-9600",
"fax_number": "718-376-4204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKHLI",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054462",
"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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.