Organization Active NPI

Rock Solid Dental,PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1982082327
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044484 Issued in NY
Legal business name
ROCK SOLID DENTAL,PC
Practice address
1707 Avenue P
Brooklyn, NY 11229
Phone
(718) 339-0627
Fax
(718) 339-0466
NPI assigned
May 18, 2015
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Mr. Roman Milgram
Title
President
Phone
(718) 339-0627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 052813 NY
General Practice Dentistry 1223G0001X 044484 NY Primary

Addresses

Primary practice location

1707 Avenue P
Brooklyn, NY 11229

Mailing address

1707 Avenue P
Brooklyn, NY 11229-1205
Phone (718) 339-0627

Other identifiers 1

IdentifierTypeStateIssuer
01405623MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1982082327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291205",
            "telephone_number": "718-339-0627",
            "fax_number": "718-339-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-339-0627",
            "fax_number": "718-339-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK SOLID DENTAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "MILGRAM",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-339-0627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052813",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01405623",
            "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 May 18, 2015; 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.