Organization Active NPI

Brush Hollow Dental LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westbury, NY
National Provider Identifier
1740166677
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BRUSH HOLLOW DENTAL LLC
Practice address
959 Brush Hollow Rd Ste 100
Westbury, NY 11590-1779
Phone
(516) 518-7335
Fax
(516) 550-7580
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Erin Diamantakis, DDSNPI 1376818641
Title
Owner/Orthodontist
Phone
(516) 518-7335

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

959 Brush Hollow Rd Ste 100
Westbury, NY 11590-1779

Mailing address

959 Brush Hollow Rd Ste 100
Westbury, NY 11590-1779
Phone (516) 518-7335

National Provider Directory

National Provider Directory

Locations

959 Brush Hollow Rd
Ste 100
Westbury, NY 11590
Phone (516) 518-7335

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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1740166677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD STE 100",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901779",
            "telephone_number": "516-518-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD STE 100",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901779",
            "telephone_number": "516-518-7335",
            "fax_number": "516-550-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH HOLLOW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "DIAMANTAKIS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "516-518-7335",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.