Burt R. Kreisman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

032392 Issued in NY

Practice address

1705 Broadway
Suite 1
Hewlett, NY 11557-1634

Phone

(516) 599-4446

Fax

(516) 599-1996

NPI assigned

Feb 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1740458884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY",
            "address_2": "SUITE 1",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571634",
            "telephone_number": "516-599-4446",
            "fax_number": "516-599-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY",
            "address_2": "SUITE 1",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571634",
            "telephone_number": "516-599-4446",
            "fax_number": "516-599-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISMAN",
        "first_name": "BURT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yehezkel Koenov
• Susan Koffler, MS
• Abraham Korman, DC
• Jordan Leslie Kramer, M.D.
• Meryl Sikora Krasne, SPEECH PATHOLOGIST
• Kumar Krishnamoorthi, P.T.
• Paul Jan Kubiak, MD
• Jeffrey Kupferman, LCSW
• Susan Kurman, SLP
• Madeline Rose Lalia, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.