Individual provider Active NPI

Katherine Soroya Meshkati, D.M.D.

  • Dentist
  • Manhasset, NY
National Provider Identifier
1053334839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049790-1 Issued in NY
Practice address
2110 Northern Blvd
Suite #206
Manhasset, NY 11030-3502
Phone
(516) 627-7888
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 049790-1 NY Primary

Addresses

Primary practice location

2110 Northern Blvd
Suite #206
Manhasset, NY 11030-3502

Mailing address

21 Rugby Rd
Rockville Centre, NY 11570-1838
Phone (516) 678-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 8, 2021 through Nov 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
049790-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhasset Dental, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053334839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RUGBY RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701838",
            "telephone_number": "516-678-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD",
            "address_2": "SUITE #206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303502",
            "telephone_number": "516-627-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHKATI",
        "first_name": "KATHERINE",
        "middle_name": "SOROYA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049790-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.