Organization Active NPI

Brooklyn Cosmetic and Implant Dentistry

  • Endodontics
  • Brooklyn, NY
National Provider Identifier
1821545351
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0330321 Issued in NY
Legal business name
BROOKLYN COSMETIC AND IMPLANT DENTISTRY
Practice address
142 Joralemon Street
6D
Brooklyn, NY 11201-4747
Phone
(718) 624-3230
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Andrew Myers, DDS
Title
President
Phone
(718) 642-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0330321 NY Primary

Addresses

Primary practice location

142 Joralemon Street
6D
Brooklyn, NY 11201-4747

Mailing address

142 Joralemon St
6D
Brooklyn, NY 11201-4747
Phone (718) 624-3230

National Provider Directory

National Provider Directory

Locations

142 Joralemon St
Ste 6D
Brooklyn, NY 11201
Phone (718) 624-3230

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1821545351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "718-624-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON STREET",
            "address_2": "6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "718-624-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COSMETIC AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-642-3230",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "0330321",
            "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 Sep 1, 2016; 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.