Active NPI
Domino Dental
- Dentist
- Brooklyn, NY
National Provider Identifier
1811587504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Oryx |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1245518349
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.