Organization Active NPI

Dream Dental, PC

  • General Practice Dentistry
  • Woodside, NY
National Provider Identifier
1063690113
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051335 Issued in NY
Legal business name
DREAM DENTAL, PC
Practice address
4902 Queens Blvd
3Rd Floor
Woodside, NY 11377-4462
Phone
(718) 803-7326
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Steven Nguyen, DDS
Title
Dentist
Phone
(718) 803-7326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 051335 NY Primary

Addresses

Primary practice location

4902 Queens Blvd
3Rd Floor
Woodside, NY 11377-4462

Mailing address

4902 Queens Blvd
3Rd Floor
Woodside, NY 11377-4462
Phone (718) 803-7326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1063690113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "address_2": "3RD FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774462",
            "telephone_number": "718-803-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "address_2": "3RD FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774462",
            "telephone_number": "718-803-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-803-7326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.