Organization Active NPI

Brooklyn Dental Professionals

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1922454909
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051647 Issued in NY
Legal business name
BROOKLYN DENTAL PROFESSIONALS
Practice address
700 Grand St
Brooklyn, NY 11211-4939
Phone
(718) 486-7600
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. Mark Kogan, D.M.D
Title
Owner Dentist
Phone
(718) 486-7600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 051647 NY
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 051647 NY Primary

Addresses

Primary practice location

700 Grand St
Brooklyn, NY 11211-4939

Mailing address

700 Grand Street
Brooklyn, NY 11211-4939
Phone (718) 486-7600

Other names 1

  • Brooklyn Dental Professionals Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1922454909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GRAND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114939",
            "telephone_number": "718-486-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114939",
            "telephone_number": "718-486-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "718-486-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051647",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 10, 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.