Organization Active NPI

New Rochelle Dental PC

  • General Practice Dentistry
  • New Rochelle, NY
National Provider Identifier
1023161452
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049060 Issued in NY
Legal business name
NEW ROCHELLE DENTAL PC
Practice address
421 Huguenot Street
Professional Office Building Suite 3
New Rochelle, NY 10801-7004
Phone
(914) 632-4446
NPI assigned
Jan 19, 2007
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. Valeriy KanatovNPI 1457404808
Title
Office Manager
Phone
(914) 632-4446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049060 NY Primary

Addresses

Primary practice location

421 Huguenot Street
Professional Office Building Suite 3
New Rochelle, NY 10801-7004

Mailing address

421 Huguenot Street
Professional Office Building Suite 3
New Rochelle, NY 10801-7004
Phone (914) 632-4446

National Provider Directory

National Provider Directory

Locations

421 Huguenot St
Ofc
New Rochelle, NY 10801
Phone (914) 632-4446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1023161452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT STREET",
            "address_2": "PROFESSIONAL OFFICE BUILDING SUITE 3",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017004",
            "telephone_number": "914-632-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT STREET",
            "address_2": "PROFESSIONAL OFFICE BUILDING SUITE 3",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017004",
            "telephone_number": "914-632-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROCHELLE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "KANATOV",
        "authorized_official_first_name": "VALERIY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-632-4446",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.