Downtown Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010859 Issued in CT

Legal business name

DOWNTOWN DENTAL P.C.

Practice address

1023 Main St
1St Floor
Bridgeport, CT 06604-4221

Phone

(212) 203-1611

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Yulian Aminov

Title

President

Phone

(212) 203-1611

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1740626266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9919 66TH RD",
            "address_2": "APT # 3 A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744458",
            "telephone_number": "212-203-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MAIN ST",
            "address_2": "1ST FLOOR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044221",
            "telephone_number": "212-203-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "YULIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-203-1611",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008042136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Dossantos, LADC
• Kelly Dougherty, LCSW
• Claire Morgan Douglas
• Nadine Chanair Douglas, LMSW
• Julian Natalie Downey, LPN
• Kirstin Dowsett, LCSW
• Donna Marie Doxsey-McGrew, APRN-BC FNP
• Vanessa Frances Doyle, ND
• Dr Eric Katz PC
• Dr Robert Brody Personalized Natural Medicine

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.