Organization Active NPI

Trump Village Dental P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1962691220
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TRUMP VILLAGE DENTAL P.C.
Practice address
520 Neptune Ave
Brooklyn, NY 11224-4004
Phone
(718) 946-8585
Fax
(718) 946-3230
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Vyacheslav Ripa, D.D.S, PH.D.
Title
Owner
Phone
(718) 946-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

520 Neptune Ave
Brooklyn, NY 11224-4004

Mailing address

520 Neptune Ave
Brooklyn, NY 11224-4004
Phone (718) 946-8585

Other identifiers 1

IdentifierTypeStateIssuer
02227829MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1962691220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244004",
            "telephone_number": "718-946-8585",
            "fax_number": "718-946-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244004",
            "telephone_number": "718-946-8585",
            "fax_number": "718-946-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMP VILLAGE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "RIPA",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-946-8585",
        "authorized_official_credential": "D.D.S, PH.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227829",
            "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 Oct 23, 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.