Radiant Smile Dental Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

044978 Issued in NY

Legal business name

RADIANT SMILE DENTAL CARE PC

Practice address

812 Jericho Tpke
New Hyde Park, NY 11040-4514

Phone

(516) 355-9510

Fax

(516) 437-4567

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Pavel KrastevNPI 1841451952

Title

Owner/President

Phone

(516) 355-9510

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pavel Krastev, D.D.S.

  • General Practice Dentistry
  • New Hyde Park, NY
  • NPI 1841451952
  NPD (past) Authorized official

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1043580038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404514",
            "telephone_number": "516-355-9510",
            "fax_number": "516-437-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404514",
            "telephone_number": "516-355-9510",
            "fax_number": "516-437-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SMILE DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "KRASTEV",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-355-9510",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "044978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R&H Pharma Inc
• Erica Lara Rabinovich, DO
• Sarah R Rabinowitz, MD
• Dorothy Joy Pedrena Racimo
• Ella Margaret Radcliffe, RN, NP
• Aniko Radnics
• Dariush Radparvar, MD
• Stephanie Radske-Inzerillo, FNP
• Justin Rafael
• Nazreen Raffie

• Dental Clinic/Center in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.