KNICKERBOCKER FAMILY DENTAL CENTER PC (NPI# 1861521262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861521262 |
| Entity Type | Organization |
| Organization Name | KNICKERBOCKER FAMILY DENTAL CENTER PC |
| Practice Address |
214 Stanhope St Brooklyn NY 11237-4202 |
| Practice Telephone | 7185740527 |
| Practice Fax Number | 7187150624 |
| Mailing Telephone | 7185740527 |
| Mailing Fax Number | 7187150624 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LARRY D JACOBS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7185740527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 039714 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS DENTAL LICENSE | 037914 | 01 |
| Street Address |
214 STANHOPE ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942298625 | Steven D Jacobs | Dentist | 214 Stanhope St, Brooklyn, NY 11237-4202 | 2005-10-07 |
| 1063596294 | Harrico Knickerbocker Drug Corp | Pharmacist | 214 Stanhope St, Brooklyn, NY 11237-4202 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454475 | Mighty Smiles LLC | Dentist | 837 59th St Fl 3, Brooklyn, NY 11220-3611 | 2020-07-15 |
| 1073131967 | Oraleye, Inc. | Dentist | 300 Cadman Plz W Fl 121, Brooklyn, NY 11201-3229 | 2020-07-08 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1215562491 | Magnon Reyes Dds Pllc | Dentist | 2004 Mermaid Ave, Brooklyn, NY 11224-2595 | 2020-03-08 |
| 1093348088 | Natalia Maglevannaya | Dentist | 1719 Sheepshead Bay Rd, Brooklyn, NY 11235-3606 | 2020-02-18 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1093374548 | David Zhukovsky | Dentist | 1812 Quentin Rd Ste M1, Brooklyn, NY 11229-1336 | 2019-06-09 |
| 1295390706 | Leon Tuberman | Dentist | 464 Neptune Ave Apt 12g, Brooklyn, NY 11224-4306 | 2019-05-09 |
| 1740752732 | Mark Paul Quinn I | Dentist | 1314 E 70th St, Brooklyn, NY 11234-5704 | 2019-01-02 |
| 1083109375 | Zenab Khan | Dentist | 262 56th St Unit 3, Brooklyn, NY 11220-2615 | 2018-06-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.