Individual provider Active NPI

Alexander Kirzhner, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1770661696
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039890 Issued in NY
Practice address
9401 Seaview Ave
Brooklyn, NY 11236-5429
Phone
(718) 251-5858
Fax
(718) 209-9862
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039890 NY Primary

Addresses

Primary practice location

9401 Seaview Ave
Brooklyn, NY 11236-5429

Mailing address

9401 Seaview Ave
Brooklyn, NY 11236-5429
Phone (718) 251-5858

Other identifiers 1

IdentifierTypeStateIssuer
01062133MedicaidNY

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
I20150623002126 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476864034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Dental of Bay Ridge PC General Practice Current Accepting new patients
Serenity Dental of Bay Ridge PC General Practice CurrentSince Nov 5, 2023 Accepting new patients
Serenity Laser of Bay Ridge, LLC General Practice CurrentSince Dec 13, 2020 Accepting new patients

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770661696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 SEAVIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365429",
            "telephone_number": "718-251-5858",
            "fax_number": "718-209-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 SEAVIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365429",
            "telephone_number": "718-251-5858",
            "fax_number": "718-209-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRZHNER",
        "first_name": "ALEXANDER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01062133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.