Organization Active NPI

Boro Park Dental Smiles, PLLC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1760800486
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BORO PARK DENTAL SMILES, PLLC
Practice address
1314 46TH St Ste A4
Brooklyn, NY 11219-2150
Phone
(718) 437-6453
Fax
(646) 619-4547
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. Robert Jack Kaufman, DDSNPI 1437138906
Title
Dentist-Owner
Phone
(718) 437-6453

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 SINGLE SPECIALTY GROUP 122300000X NY Primary

Addresses

Primary practice location

1314 46TH St Ste A4
Brooklyn, NY 11219-2150

Mailing address

1314 46TH St Ste A4
Brooklyn, NY 11219-2150
Phone (718) 437-6453

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1760800486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 46TH ST STE A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192150",
            "telephone_number": "718-437-6453",
            "fax_number": "646-619-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 46TH ST STE A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192150",
            "telephone_number": "718-437-6453",
            "fax_number": "646-619-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORO PARK DENTAL SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "718-437-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 31, 2014; 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.