Organization Active NPI

Midcity Dental Group

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1760607493
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044283 Issued in NY
Legal business name
MIDCITY DENTAL GROUP
Practice address
2101 Kings Hwy
Brooklyn, NY 11229-1509
Phone
(718) 951-2261
Fax
(718) 951-2018
NPI assigned
Apr 16, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Iosif Uvaydov, DDSNPI 1235122490
Title
President
Phone
(718) 951-2261

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 044283 NY Primary

Addresses

Primary practice location

2101 Kings Hwy
Brooklyn, NY 11229-1509

Mailing address

2101 Kings Hwy
Brooklyn, NY 11229-1509
Phone (718) 951-2261

Other identifiers 1

IdentifierTypeStateIssuer
02338829MedicaidNY

National Provider Directory

National Provider Directory

Locations

2101 Kings Hwy
Brooklyn, NY 11229
Phone (718) 951-2261

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1760607493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291509",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291509",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "UVAYDOV",
        "authorized_official_first_name": "IOSIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-951-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02338829",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.