Organization Active NPI

Brooklyn Dental Group, P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1689098105
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048971 Issued in NY
Legal business name
BROOKLYN DENTAL GROUP, P.C.
Practice address
2270 Ocean Ave
Suite 1D
Brooklyn, NY 11229-3038
Phone
(718) 946-0500
Fax
(718) 339-4810
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Chaim Klein, D.D.S.NPI 1114001518
Title
Owner
Phone
(718) 946-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 048971 NY Primary

Addresses

Primary practice location

2270 Ocean Ave
Suite 1D
Brooklyn, NY 11229-3038

Mailing address

PO Box 300414
Brooklyn, NY 11230-0414
Phone (718) 946-0500

Other identifiers 1

IdentifierTypeStateIssuer
02189568MedicaidNY

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1689098105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300414",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112300414",
            "telephone_number": "718-946-0500",
            "fax_number": "718-339-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 OCEAN AVE",
            "address_2": "SUITE 1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293038",
            "telephone_number": "718-946-0500",
            "fax_number": "718-339-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-946-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02189568",
            "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 Feb 5, 2014; 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.