PARKSIDE DENTAL PC
NPI 1902907744
Dentist - General Practice in Brooklyn, NY

NPI Status: Active since September 26, 2006

Contact Information

325 OCEAN AVE
BROOKLYN, NY
ZIP 11225
Phone: (718) 462-7436
Fax: (718) 462-2418

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  • Organization
  • Dentist
  • General Practice

About PARKSIDE DENTAL PC

This page provides the complete NPI Profile along with additional information for Parkside Dental Pc, a provider established in Brooklyn, New York operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1902907744 assigned on September 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 049097 (NY). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Serge Kupetz Dds (Doctor Owner)

NPI
1902907744
Provider Name
PARKSIDE DENTAL PC
Entity Type
Organization
Location Address
325 OCEAN AVE BROOKLYN, NY 11225
Location Phone
(718) 462-7436
Location Fax
(718) 462-2418
Mailing Address
325 OCEAN AVE BROOKLYN, NY 11225
Mailing Phone
(718) 462-7436
Mailing Fax
(718) 462-2418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2006
Last Update Date
06-07-2013
Code Navigator

A dentist like Parkside Dental Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
049097
License State
NY
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SERGE KUPETZ DDS

Authorized Official Title
DOCTOR OWNER
Authorized Official Phone
(718) 462-7436

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02119991MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902907744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29021801478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 8 + 0 + 1 + 4 + 7 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1902907744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

PARKSIDE DENTAL PC

Dentist

(General Practice)

325 OCEAN AVE
BROOKLYN, NY
ZIP 11225

(718) 462-7436

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902907744, enumerated as an "organization" on September 26, 2006.

The provider is located at 325 OCEAN AVE BROOKLYN, NY 11225 and the phone number is (718) 462-7436.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.