Vista Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

055892 Issued in NY

Legal business name

VISTA DENTAL, PLLC

Doing business as

Vista Dental

Practice address

2951 Ocean Ave
Suite BB
Brooklyn, NY 11235-3275

Phone

(646) 932-1185

NPI assigned

Sep 11, 2012

Last updated

Sep 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniil Libov, DMDNPI 1366778920

Title

Dentist Member/Manager

Phone

(646) 932-1185

Specialties & licenses 1

Addresses

Other names 1

• Vista Dental Doing business as

Locations

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.

• Daniil Libov

  • Dentist
  • Warren, NJ
  • NPI 1366778920
  Authorized official Same address or phone

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1720338312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 OCEAN AVE",
            "address_2": "SUITE BB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 OCEAN AVE",
            "address_2": "SUITE BB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353275",
            "telephone_number": "646-932-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "LIBOV",
        "authorized_official_first_name": "DANIIL",
        "authorized_official_title_or_position": "DENTIST MEMBER/MANAGER",
        "authorized_official_telephone_number": "646-932-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "055892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamesdean Visley, OTD, OTR/L
• Samantha Visoky
• Emanuela Visone
• Vanessa K Visquerra
• Vista Acupuncture P.C.
• Vista on the Bay Inc
• Vista Vision Optical, Inc
• Bozhena Vistman, ED.M.
• Visual Optometry PLLC (Visual Optometry)
• Kavya Viswanathan

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.