Organization Active NPI

Tatiana Korol, D.D.S., PLLC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1972791721
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TATIANA KOROL, D.D.S., PLLC
Practice address
3049 Ocean Pkwy
Suite 301
Brooklyn, NY 11235-8302
Phone
(718) 333-1144
Fax
(718) 333-0695
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Tatiana Korol, DDSNPI 1003888686
Title
Owner
Phone
(718) 333-1144

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

3049 Ocean Pkwy
Suite 301
Brooklyn, NY 11235-8302

Mailing address

3049 Ocean Pkwy
Suite 301
Brooklyn, NY 11235-8302
Phone (718) 333-1144

Other identifiers 1

IdentifierTypeStateIssuer
01517106MedicaidNY

National Provider Directory

National Provider Directory

Locations

3049 Ocean Pkwy
Ste 301
Brooklyn, NY 11235
Phone (718) 333-1144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1972791721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY",
            "address_2": "SUITE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358302",
            "telephone_number": "718-333-1144",
            "fax_number": "718-333-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY",
            "address_2": "SUITE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358302",
            "telephone_number": "718-333-1144",
            "fax_number": "718-333-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA KOROL, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "KOROL",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-333-1144",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01517106",
            "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 5, 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.