St Johns Dental Care PC

Primary specialty

DentistTaxonomy code 122300000X

License

0452231 Issued in NY

Legal business name

ST JOHNS DENTAL CARE PC

Practice address

1424 St Johns Place
Brooklyn, NY 11213

Phone

(718) 778-6466

Fax

(718) 646-0202

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

German Gelb, DDS

Title

Dentist

Phone

(718) 778-6466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821113978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 ST JOHNS PLACE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11213",
            "telephone_number": "718-778-6466",
            "fax_number": "718-646-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 ST JOHNS PLACE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11213",
            "telephone_number": "718-778-6466",
            "fax_number": "718-646-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELB",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-778-6466",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0452231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485074",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shella St Ima
• Carline St Jean, LPN
• Ann L St John-Ramsey, RN
• Victoria St John
• St John'S Episcopal Hospital
• St Johns Place Pharmacy Inc
• Jean A St Joy
• St Jude Pharmacy & Surgical Supp
• St Jude'S Physical Therapy
• St Judes PT

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.