Marina Kipnis, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042510-1 Issued in NY

Practice address

2110 Bath Avenue
Brooklyn, NY 11214-4908

Phone

(718) 265-5525

Fax

(718) 265-1800

NPI assigned

Oct 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marina Kipnis DDS. PC

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1407004468
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1982693230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BATH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144908",
            "telephone_number": "718-265-5525",
            "fax_number": "718-265-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 BATH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144908",
            "telephone_number": "718-265-5525",
            "fax_number": "718-265-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPNIS",
        "first_name": "MARINA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042510",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042510-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01161311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kio Medical Care PC
• Nikolaos Kiouranakis, M.D.
• Constantine Kipnis
• Diana Kipnis
• Ellen Kipnis
• Marina Kipnis
• Polina Kipnis, DDS
• Tina Kipnis, M.A.CCC-SLP
• Minna Kipper, MSED
• Rachel Kipper

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.