Organization Active NPI

Greenpoint Dental Care PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1659544328
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045549 Issued in NY
Legal business name
GREENPOINT DENTAL CARE PC
Practice address
152 Greenpoint Ave
2ND Floor
Brooklyn, NY 11222-2202
Phone
(718) 389-8000
Fax
(718) 389-8388
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Isaak Grinman, DDS
Title
President
Phone
(718) 389-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 045549 NY Primary

Addresses

Primary practice location

152 Greenpoint Ave
2ND Floor
Brooklyn, NY 11222-2202

Mailing address

152 Greenpoint Ave
2ND Floor
Brooklyn, NY 11222-2202
Phone (718) 389-8000

Other identifiers 1

IdentifierTypeStateIssuer
02830179MedicaidNY

National Provider Directory

National Provider Directory

Locations

152 Greenpoint Ave
Ste 2
Brooklyn, NY 11222
Phone (718) 389-8000

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1659544328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 GREENPOINT AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222202",
            "telephone_number": "718-389-8000",
            "fax_number": "718-389-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 GREENPOINT AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222202",
            "telephone_number": "718-389-8000",
            "fax_number": "718-389-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENPOINT DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-389-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02830179",
            "state": "NY"
        }
    ],
    "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 Apr 2, 2008; 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.