Bayview Orthodontics, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BAYVIEW ORTHODONTICS, P.C.

Practice address

21333 39TH Ave Ste 300
Bayside, NY 11361-2092

Phone

(718) 423-2626

NPI assigned

Oct 30, 2019

Organization subpart

No

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

Authorized official

Name

Inessa Kandov, DDSNPI 1336494939

Title

Owner/Orthodontist

Phone

(718) 423-2626

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Inessa Kandov, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bayside, NY
  • NPI 1336494939
  NPD Authorized official

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1053955260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 300",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612092",
            "telephone_number": "718-423-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 300",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612092",
            "telephone_number": "718-423-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "KANDOV",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "718-423-2626",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.baysidefamilydentalny.com",
            "affiliation": "N",
            "address_1": "21333 39th Ave Ste 300",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113612092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marieelissa Bechtold, MA, CCC-SLP
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• Orthodontics and Dentofacial Orthopedics Dentistry in Bayside, NY
• Providers in Bayside, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.