Gyulnara Kyazimova

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048370 Issued in NY

Practice address

1906 Mermaid Ave
Brooklyn, NY 11224-2508

Phone

(718) 333-1991

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulmar Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1154592020
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1841279544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242508",
            "telephone_number": "718-333-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYAZIMOVA",
        "first_name": "GYULNARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01975020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moe Tun Kyaw, M.D.
• Nay Yee Wint Kyaw
• Ohnma Kyaw, NP
• Phoo Pwint Kyaw
• Pyae Hein Kyaw, M.B.B.S
• Kyle H Kye, PA-C
• Julian Kyere
• Norene Kyi, PA
• Olivia Kyi, PHYSICIAN ASSISTANT
• Kylana Mind Targets Inc

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.