Atlantic Dental Care, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

050644-1 Issued in NY

Legal business name

ATLANTIC DENTAL CARE, P.C.

Practice address

502A Atlantic Ave
Brooklyn, NY 11217-1813

Phone

(718) 643-9010

Fax

(718) 643-9020

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrij Gouz, D.D.S.NPI 1295710184

Title

Business Owner

Phone

(718) 643-9010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Andrij Gouz, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1295710184
  NPD (past) Authorized official

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1760653323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502A ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171813",
            "telephone_number": "718-643-9010",
            "fax_number": "718-643-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502A ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171813",
            "telephone_number": "718-643-9010",
            "fax_number": "718-643-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "GOUZ",
        "authorized_official_first_name": "ANDRIJ",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "718-643-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050644-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02405356",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic Avenue Orthodontics, PLLC (Atlantic Ave. Braces)
• Atlantic Avenue Radiology PC
• Atlantic Barclays Pharmacy Inc
• Atlantic Cardiovascular Associates PLLC
• Atlantic Chiropractic of New York PC
• Atlantic Dermatologic Associates, LLP
• Atlantic Drugs Inc (Hoyt Pharmacy)
• Atlantic Gastroenterology, P.C.
• Atlantic Heights Pharmacy Inc
• Atlantic Heights Specialty Script Corp (Atlantic Heights Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.