Olga Bukholts, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

048802 Issued in NY

Practice address

11 Broadway
City Dental Group
New York, NY 10004-1303

Phone

(212) 425-0505

Fax

(212) 425-2120

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• City Dental P.C.

  • General Practice Dentistry
  • New York, NY
  • NPI 1255322061
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902992258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 64TH ST APT 32E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237138",
            "telephone_number": "646-361-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY",
            "address_2": "CITY DENTAL GROUP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041303",
            "telephone_number": "212-425-0505",
            "fax_number": "212-425-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHOLTS",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "048802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashra Bukhari, MD
• Inna Bukharovich, M.D.
• Bukhman MD PC
• Leonid Bukhman, M.D
• Benjamin Bukholts, M.D.
• Allyson Bukiet
• Madelaine Bukiet, MHC-LP
• Miles Goodman Bukiet
• Karen Bukolt, RDN, CDN
• Kimberly Bukoski, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in New York, NY
• Providers in New York, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.