Individual provider Active NPI

Simone Brookhim Kahen, DDS

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1912266248
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041824 Issued in NY
Practice address
10 Cuttermill Rd
Suite 400
Great Neck, NY 11021-3258
Phone
(516) 603-8824
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041824 NY Primary

Addresses

Primary practice location

10 Cuttermill Rd
Suite 400
Great Neck, NY 11021-3258

Mailing address

10 Cuttermill Rd
Suite 400
Great Neck, NY 11021-3258
Phone (516) 603-8824

Other names 1

  • Dr. Simone Brookhim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041824NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1912266248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CUTTERMILL RD",
            "address_2": "SUITE 400",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213258",
            "telephone_number": "516-603-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CUTTERMILL RD",
            "address_2": "SUITE 400",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213258",
            "telephone_number": "516-603-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHEN",
        "first_name": "SIMONE",
        "middle_name": "BROOKHIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "BROOKHIM",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.