Organization Active NPI

Domino Dental

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1811587504
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DOMINO DENTAL
Practice address
121 S 4TH St
Brooklyn, NY 11249-5504
Phone
(347) 762-0454
NPI assigned
Jan 26, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Kenza Belhachmi
Title
Office Manager
Phone
(347) 762-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

121 S 4TH St
Brooklyn, NY 11249-5504

Mailing address

121 S 4TH St
Brooklyn, NY 11249-5504
Phone (347) 762-0454

Other names 1

  • LRH Dental Services Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Oryx

National Provider Directory

National Provider Directory

Locations

121 S 4th St
Brooklyn, NY 11249
Phone (347) 762-0454

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1811587504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112495504",
            "telephone_number": "347-762-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112495504",
            "telephone_number": "347-762-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "BELHACHMI",
        "authorized_official_first_name": "KENZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-762-0454"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oryx",
            "affiliation": "N",
            "address_1": "121 S 4th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112495504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LRH Dental Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 27, 2021; 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.