Individual provider Active NPI

Viren Jonathan Abreo, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1740677137
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058659 Issued in NY
Practice address
142 Joralemon St Ste 6E
Brooklyn, NY 11201-4709
Phone
(214) 724-7782
NPI assigned
Apr 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 058659 NY Primary

Addresses

Primary practice location

142 Joralemon St Ste 6E
Brooklyn, NY 11201-4709

Mailing address

142 Joralemon St Ste 6E
Brooklyn, NY 11201-4709
Phone (214) 724-7782

Other practice location 1

2697 Calmwater Dr
Little Elm, TX 75068-2787
Phone (214) 724-7782

Other practice location 2

2697 Calmwater Dr
Little Elm, TX 75068-2787
Phone (214) 724-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524000378 NY Practitioner - Oral Surgery 0547537599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Care of Nyc PC Multi-Specialty CurrentSince Apr 12, 2017 Accepting new patients
Brooklyn Dental Sedation Care PC General Practice PastSince Oct 1, 2023 Accepting new patients

Locations

142 Joralemon St
#6
Brooklyn, NY 11201
Phone (718) 624-1970

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740677137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST STE 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "214-724-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST STE 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "214-724-7782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2697 Calmwater Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750682787",
            "country_code": "US",
            "telephone_number": "214-724-7782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2697 Calmwater Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750682787",
            "country_code": "US",
            "telephone_number": "214-724-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABREO",
        "first_name": "VIREN",
        "middle_name": "JONATHAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.