Organization Active NPI

Advanced Family Dentistry PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1821139973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047161 Issued in NY
Legal business name
ADVANCED FAMILY DENTISTRY PC
Practice address
1763 Ocean Ave
Brooklyn, NY 11230-5402
Phone
(718) 677-0200
Fax
(718) 258-3512
NPI assigned
Feb 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mina Bell, DDSNPI 1013148337
Title
Dentist
Phone
(718) 677-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 047161 NY Primary

Addresses

Primary practice location

1763 Ocean Ave
Brooklyn, NY 11230-5402

Mailing address

1763 Ocean Ave
Brooklyn, NY 11230-5402
Phone (718) 677-0200

National Provider Directory

National Provider Directory

Locations

1763 Ocean Ave
Brooklyn, NY 11230
Phone (718) 677-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821139973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305402",
            "telephone_number": "718-677-0200",
            "fax_number": "718-258-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305402",
            "telephone_number": "718-677-0200",
            "fax_number": "718-258-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-677-0200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.