Organization Active NPI

North Shore Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Whitestone, NY
National Provider Identifier
1043378680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
034366 Issued in NY
Legal business name
NORTH SHORE ORTHODONTICS
Practice address
1815 Francis Lewis Blvd
Whitestone, NY 11357-3836
Phone
(718) 746-8900
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Friedman, D.D.S.
Title
Member
Phone
(718) 746-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 034366 NY Primary

Addresses

Primary practice location

1815 Francis Lewis Blvd
Whitestone, NY 11357-3836

Mailing address

1815 Francis Lewis Blvd
Whitestone, NY 11357-3836
Phone (718) 746-8900

Other identifiers 1

IdentifierTypeStateIssuer
01076008MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043378680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573836",
            "telephone_number": "718-746-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573836",
            "telephone_number": "718-746-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-746-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "034366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.