Brick Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRICK DENTAL CARE

Practice address

1683 Route 88 Ste C
Brick, NJ 08724-3072

Phone

(347) 455-1108

NPI assigned

Nov 6, 2018

Organization subpart

Yes

Parent organization

AGN DENTAL PRACTICES, PCAs reported in NPPES

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

Authorized official

Name

Dr. Admasu Nerri Gizachew, DDSNPI 1295072973

Title

President

Phone

(231) 580-9205

Specialties & licenses 1

Addresses

Other names 1

• Brick Dental Care Doing business as

Tax ID family

Agn Dental Practices PC2 organizations share this tax ID, including this one

Part of

Agn Dental Practices PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Agn Dental Practices, PC

  • Dentist
  • Eatontown, NJ
  • NPI 1558831438
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Admasu N Gizachew

  • Dentist
  • Brick, NJ
  • NPI 1295072973
  NPD Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1992273155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 STE C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 STE C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243072",
            "telephone_number": "347-455-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGN DENTAL PRACTICES, PC",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "GIZACHEW",
        "authorized_official_first_name": "ADMASU",
        "authorized_official_middle_name": "NERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-580-9205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brick Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Briar, MPT
• Brick Board of Education
• Brick Chiropractic Wellness Center
• Brick Chiropractic Wellness Center LLC
• Brick Dental Associates, P.C.
• Brick Dental Studio
• Brick Foot & Ankle Center, PC
• Brick Hand & Rehabilitative Services Limited Partnership
• Brick Pain Relief and Wellness, Inst.
• Brick Pediatric Dentistry and Orthodontics

• All providers in Brick, NJ
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.