Active NPI
982 Fulton Dental PLLC
- Pediatric Dentistry
- Brooklyn, NY
National Provider Identifier
1730097353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- 982 FULTON DENTAL PLLC
- Practice address
- 982 Fulton Street
Suite B
Brooklyn, NY 11238 - Phone
- (646) 504-9519
- NPI assigned
- Sep 1, 2026
- Last updated
- Sep 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nieku Manshadi, DDS
- Title
- Owner
- Phone
- (949) 293-7357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
982 Fulton Street
Suite B
Brooklyn, NY 11238
Mailing address
982 Fulton Street
Suite B
Brooklyn, NY 11238
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1730097353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 FULTON STREET",
"address_2": "SUITE B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 FULTON STREET",
"address_2": "SUITE B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11238",
"telephone_number": "646-504-9519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "982 FULTON DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "MANSHADI",
"authorized_official_first_name": "NIEKU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-293-7357",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- 8TH Avenue Drugs & Surgicals (8th Avenue Drugs & Suricals Inc)
- 8TH Avenue Family Dental PC
- 8TH Avenue Medical Office PLLC
- 902 Foster Care Inc (First Care Pharmacy)
- 95TH St Pharma Corp. (95th St Pharmacy)
- 99 Antiaging Management LLC
- 99 Nassau Ave Dental PLLC (Dental Made Easy)
- 9TH Street Vision Care
- 9TH Street Vision Care, Inc
- 9TH Street Vision Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.