Organization Active NPI

Decent Dental Services, P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1871707968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038066 Issued in NY
Legal business name
DECENT DENTAL SERVICES, P.C.
Practice address
5801 5TH Ave
Brooklyn, NY 11220-3819
Phone
(718) 492-0086
Fax
(718) 569-9055
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jayendra Ambalal Panchal, DDSNPI 1255320313
Title
President
Phone
(718) 492-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 038066 NY Primary

Addresses

Primary practice location

5801 5TH Ave
Brooklyn, NY 11220-3819

Mailing address

5801 5TH Ave
Brooklyn, NY 11220-3819
Phone (718) 492-0086

Other identifiers 1

IdentifierTypeStateIssuer
00838106MedicaidNY

National Provider Directory

National Provider Directory

Locations

5801 5th Ave
Brooklyn, NY 11220
Phone (718) 439-9720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871707968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203819",
            "telephone_number": "718-492-0086",
            "fax_number": "718-569-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203819",
            "telephone_number": "718-492-0086",
            "fax_number": "718-569-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECENT DENTAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "JAYENDRA",
        "authorized_official_middle_name": "AMBALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-492-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00838106",
            "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 Aug 22, 2020; 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.