Organization Active NPI

DRS Mehtadental LLC

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1689284440
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DRS MEHTADENTAL LLC
Practice address
7420 6TH Ave
Brooklyn, NY 11209-3314
Phone
(718) 759-9669
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Praveen MehtaNPI 1497730329
Title
Co Owner
Phone
(718) 759-9669

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7420 6TH Ave
Brooklyn, NY 11209-3314

Mailing address

7420 6TH Ave
Brooklyn, NY 11209-3314
Phone (718) 759-9669

Other practice location 1

17 Avenue D
New York, NY 10009-7997
Phone (718) 759-9669

National Provider Directory

National Provider Directory

Locations

7420 6th Ave
Brooklyn, NY 11209
Phone (718) 759-9669

Practitioners & affiliated clinicians

Practitioners 2

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": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1689284440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093314",
            "telephone_number": "718-759-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093314",
            "telephone_number": "718-759-9669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Avenue D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100097997",
            "country_code": "US",
            "telephone_number": "718-759-9669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRS MEHTADENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "718-759-9669"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 6, 2020; 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.