Active NPI
Kensington Dental Associates PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1730347774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 038940-1
- Legal business name
- KENSINGTON DENTAL ASSOCIATES PC
- Practice address
- 207 Ocean Parkway
Suite 1St
Brooklyn, NY 11218 - Phone
- (718) 436-9245
- Fax
- (718) 436-0092
- NPI assigned
- May 27, 2008
- 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
- Mrs. Sofya Vaynshteyn Sr., DDS
- Title
- Owner
- Phone
- (718) 436-9245
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 038940-1 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 040479 | NY |
Addresses
Primary practice location
207 Ocean Parkway
Suite 1St
Brooklyn, NY 11218
Mailing address
207 Ocean Parkway
Suite 1St
Brooklyn, NY 11218
Phone (718) 436-9245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01734803 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1730347774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 OCEAN PARKWAY",
"address_2": "SUITE 1ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218",
"telephone_number": "718-436-9245",
"fax_number": "718-436-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 OCEAN PARKWAY",
"address_2": "SUITE 1ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218",
"telephone_number": "718-436-9245",
"fax_number": "718-436-0092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENSINGTON DENTAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "VAYNSHTEYN",
"authorized_official_first_name": "SOFYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-436-9245",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "038940-1",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "040479",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01734803",
"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 May 27, 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.