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KRISTEN BROCAVICH DDS
NPI 1851901896
Dentist - Periodontics in Islip, NY

Active since August 04, 2020
150 ISLIP AVE STE 11, ISLIP, NY 11751(631) 581-3100 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristen Brocavich Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN BROCAVICH DDS (NPI 1851901896) is an individual periodontics provider in Islip, New York, licensed in New York (061138) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1851901896
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameKRISTEN BROCAVICHCredential: DDS
Location Address150 ISLIP AVE STE 11Islip, NY 11751-3222
Mailing Address3 Farnum StLynbrook, NY 11563-3920 · (516) 993-8731
Phone(631) 581-3100
Sole ProprietorNo
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1851901896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 061138
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
150 ISLIP AVE STE 11, Islip, NY 11751
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN M. FROST, DDS PC
Dentist (Periodontics)
150 ISLIP AVE STE 11
ISLIP, NY 11751
Suffolk County (631) 581-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Brocavich's NPI number?

The NPI number for Kristen Brocavich is 1851901896. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Kristen Brocavich located?

Kristen Brocavich practices at 150 Islip Ave Ste 11, Islip, NY 11751. The listed phone number is (631) 581-3100.

What is Kristen Brocavich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Kristen Brocavich accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kristen Brocavich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristen Brocavich was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.