Organization Active NPI

Atlantic Avenue Orthodontics, PLLC

Doing business as Atlantic Ave. Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
National Provider Identifier
1790266187
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
051019 Issued in NY
Legal business name
ATLANTIC AVENUE ORTHODONTICS, PLLC
Doing business as
Atlantic Ave. Braces
Practice address
2641 Atlantic Ave
Brooklyn, NY 11207-2407
Phone
(646) 505-8852
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Dr. Daniel Kuncio, DDSNPI 1447399365
Title
President
Phone
(646) 505-8852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 051019 NY Primary

Addresses

Primary practice location

2641 Atlantic Ave
Brooklyn, NY 11207-2407

Mailing address

315 W 70TH St Apt 1J
New York, NY 10023-3529

Other names 1

  • Atlantic Ave. Braces Doing business as

National Provider Directory

National Provider Directory

Locations

2641 Atlantic Ave
Brooklyn, NY 11207
Phone (646) 505-8852

315 W 70th St
Apt 1J
New York, NY 10023
Phone (212) 245-4234

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1790266187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 70TH ST APT 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072407",
            "telephone_number": "646-505-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC AVENUE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "KUNCIO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-505-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "051019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Ave. Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Ave. Braces",
            "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 Aug 24, 2018; 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.