Organization Active NPI

Margarita Degtyareva, DDS, PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1821362492
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARGARITA DEGTYAREVA, DDS, PC
Practice address
1725 Sheepshead Bay Rd
Brooklyn, NY 11235-3606
Phone
(718) 743-0299
Fax
(718) 743-1468
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Margarita Degtyareva, DDS
Title
Owner
Phone
(718) 743-0299

Specialties & licenses 1

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

Addresses

Primary practice location

1725 Sheepshead Bay Rd
Brooklyn, NY 11235-3606

Mailing address

1725 Sheepshead Bay Rd
Brooklyn, NY 11235-3606
Phone (718) 743-0299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1821362492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353606",
            "telephone_number": "718-743-0299",
            "fax_number": "718-743-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353606",
            "telephone_number": "718-743-0299",
            "fax_number": "718-743-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARITA DEGTYAREVA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "DEGTYAREVA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-743-0299",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Feb 29, 2012; 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.