Kids Dental of Staten Island, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS DENTAL OF STATEN ISLAND, PC

Practice address

1839 N Railroad Ave
Staten Island, NY 10306-2020

Phone

(718) 667-5437

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Lazzara, DDS

Title

Dentist

Phone

(718) 667-5437

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1023292877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 N RAILROAD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062020",
            "telephone_number": "718-667-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 N RAILROAD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062020",
            "telephone_number": "718-667-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL OF STATEN ISLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "LAZZARA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-667-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisette Luzolo Kiadidi, MD
• Genell Marie Kianes, LMHC
• Tatiana Kidanov, MS,RD,CDN,CDCES
• Kidney and Hypertension Medicine, P.C.
• Kids Connect USA Inc
• Kids Dental, P.C.
• Kidspark SH Inc
• Kaitlyn Marie Kiefer, CCC-SLP
• Elisheva Kierman, MS CCC SLP TSHH
• Kirsten Ashley Kiernan, L.P.N.

• Pediatric Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.