Organization Active NPI

Celebrity Dental PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1841528452
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CELEBRITY DENTAL PC
Practice address
4081 Ocean Ave
Brooklyn, NY 11235-3714
Phone
(718) 290-4114
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Dr. Natalya Orlova, DDS
Title
President
Phone
(718) 290-4114

Specialties & licenses 1

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

Addresses

Primary practice location

4081 Ocean Ave
Brooklyn, NY 11235-3714

Mailing address

4081 Ocean Ave
Brooklyn, NY 11235-3714
Phone (718) 290-4114

Other identifiers 1

IdentifierTypeStateIssuer
02685656MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1841528452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353714",
            "telephone_number": "718-290-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353714",
            "telephone_number": "718-290-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "ORLOVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-290-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685656",
            "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 Nov 20, 2009; 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.