NPIMap

Organization Active NPI

500 Ocean Dental,P.C

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1821204165
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049664 Issued in NY
Legal business name
500 OCEAN DENTAL,P.C
Practice address
29 Cove LN
Apt 5C
Brooklyn, NY 11234-5846
Phone
(917) 815-8112
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Leonid Mesamed
Title
President
Phone
(917) 815-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 049664 NY Primary

Addresses

Primary practice location

29 Cove LN
Apt 5C
Brooklyn, NY 11234-5846

Mailing address

29 Cove LN
Apt 5C
Brooklyn, NY 11234-5846
Phone (917) 815-8112

Other identifiers 1

IdentifierTypeStateIssuer
02226520MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1821204165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COVE LN",
            "address_2": "APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345846",
            "telephone_number": "917-815-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COVE LN",
            "address_2": "APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345846",
            "telephone_number": "917-815-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "500 OCEAN DENTAL,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "MESAMED",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-815-8112",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226520",
            "state": "NY"
        }
    ],
    "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 Sep 27, 2013; 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.