Organization Active NPI

Hillside Family Dental Care, P.C.

  • Dentist
  • Bellerose, NY
National Provider Identifier
1083829998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HILLSIDE FAMILY DENTAL CARE, P.C.
Practice address
25012A Hillside Ave
Bellerose, NY 11426-2149
Phone
(718) 343-0900
Fax
(718) 831-9212
NPI assigned
May 14, 2007
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. Susan M. Levine, D.M.D.
Title
Dentist
Phone
(718) 343-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

25012A Hillside Ave
Bellerose, NY 11426-2149

Mailing address

25012A Hillside Ave
Bellerose, NY 11426-2149
Phone (718) 343-0900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083829998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25012A HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262149",
            "telephone_number": "718-343-0900",
            "fax_number": "718-831-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012A HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262149",
            "telephone_number": "718-343-0900",
            "fax_number": "718-831-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE FAMILY DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-343-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, 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.