Organization Active NPI

Anguel Panev, DDS, PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1790191377
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050701 Issued in NY
Legal business name
ANGUEL PANEV, DDS, PC
Doing business as
Grand Smile Dental
Practice address
772 Grand St
Brooklyn, NY 11211-5395
Phone
(718) 218-9494
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Anguel Hristov Panev, DDS
Title
Dentist
Phone
(718) 218-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 050701 NY Primary

Addresses

Primary practice location

772 Grand St
Brooklyn, NY 11211-5395

Mailing address

772 Grand St
Brooklyn, NY 11211-5395
Phone (718) 218-9494

Other names 1

  • Grand Smile Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1790191377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115395",
            "telephone_number": "718-218-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115395",
            "telephone_number": "718-218-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGUEL PANEV, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "PANEV",
        "authorized_official_first_name": "ANGUEL",
        "authorized_official_middle_name": "HRISTOV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-218-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 3, 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.