BP Dentistry for Kids PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

057648 Issued in NY

Legal business name

BP DENTISTRY FOR KIDS PC

Practice address

5309 18TH Ave
2ND Floor
Brooklyn, NY 11204-1523

Phone

(718) 644-0287

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Lutz, DDSNPI 1376942292

Title

Vice President

Phone

(347) 244-2914

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elliot Lutz

  • General Practice Dentistry
  • Fresh Meadows, NY
  • NPI 1376942292
  Authorized official Same address or phone

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1861944043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-644-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-644-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BP DENTISTRY FOR KIDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "347-244-2914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "057648",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "057524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Boymelgreen
• Benita Elizabeth Boynton, MSW
• Heidi Boyson, MS
• Nadia Boytsova
• Yelena Bozo
• BP Dynamic Rehab PT PC
• BP Immediate Medical Care, PC
• BP Immediate Medical Care, PC
• BP Physical Therapy PC
• BP Rehabilitation Associates PT & OT PLLC

• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.