Organization Active NPI

Simply Smiles Dental Bushwick PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1720937972
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SIMPLY SMILES DENTAL BUSHWICK PC
Practice address
415 Knickerbocker Ave
Brooklyn, NY 11237-4991
Phone
(347) 462-3707
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Kareem Fatouh
Title
Ceo
Phone
(914) 924-2286

Specialties & licenses 1

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

Addresses

Primary practice location

415 Knickerbocker Ave
Brooklyn, NY 11237-4991

Mailing address

415 Knickerbocker Ave
Brooklyn, NY 11237-4991
Phone (347) 462-3707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1720937972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374991",
            "telephone_number": "347-462-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374991",
            "telephone_number": "347-462-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SMILES DENTAL BUSHWICK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "FATOUH",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-924-2286"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Jan 22, 2026; 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.