Individual provider Active NPI

Clara Tzau, D.D.S

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1750760062
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
057001 Issued in NY
Practice address
64 Livingston St
Apt 6
Brooklyn, NY 11201-4843
Phone
(646) 255-9014
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 057001 NY Primary

Addresses

Primary practice location

64 Livingston St
Apt 6
Brooklyn, NY 11201-4843

Mailing address

71 Park Ave Apt Pha
New York, NY 10016-2507
Phone (646) 255-9014

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
I20160819000924 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6204121908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057001NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Tzau Dentistry Pediatric Dentistry CurrentSince Mar 11, 2025 Accepting new patients

Organizations & group practices 1

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1750760062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PARK AVE APT PHA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162507",
            "telephone_number": "646-255-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 LIVINGSTON ST",
            "address_2": "APT 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014843",
            "telephone_number": "646-255-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZAU",
        "first_name": "CLARA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.