Organization Active NPI

Maks Dental PLLC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1689858508
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047392 Issued in NY
Legal business name
MAKS DENTAL PLLC
Practice address
1270 E 19TH St
Apt. 2a
Brooklyn, NY 11230-5457
Phone
(917) 291-0416
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Genrich Shvarts, D.D.S.NPI 1023029022
Title
Owner
Phone
(917) 291-0416

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 047392 NY Primary

Addresses

Primary practice location

1270 E 19TH St
Apt. 2a
Brooklyn, NY 11230-5457

Mailing address

1270 E 19TH St
Apt. 2a
Brooklyn, NY 11230-5457
Phone (917) 291-0416

Other identifiers 1

IdentifierTypeStateIssuer
01783706MedicaidNY

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.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1689858508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 E 19TH ST",
            "address_2": "APT. 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305457",
            "telephone_number": "917-291-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E 19TH ST",
            "address_2": "APT. 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305457",
            "telephone_number": "917-291-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SHVARTS",
        "authorized_official_first_name": "GENRICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-291-0416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01783706",
            "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 Jul 31, 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.