NPIMap

Organization Active NPI

Pitkin Dental, P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1851641773
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043066 Issued in NY
Legal business name
PITKIN DENTAL, P.C.
Practice address
94 Osborn Street, 2 FL
Brooklyn, NY 11212-6603
Phone
(718) 576-6649
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dmitry Gorbunov, DDS
Title
Owner
Phone
(718) 576-6649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043066 NY Primary

Addresses

Primary practice location

94 Osborn Street, 2 FL
Brooklyn, NY 11212-6603

Mailing address

94 Osborn Street, 2 FL
Brooklyn, NY 11212-6603
Phone (718) 576-6649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1851641773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OSBORN STREET, 2 FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126603",
            "telephone_number": "718-576-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OSBORN STREET, 2 FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126603",
            "telephone_number": "718-576-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITKIN DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "GORBUNOV",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-576-6649",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043066",
            "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 18, 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.