Washington Heights Dental Practice, P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041796 Issued in NY

Legal business name

WASHINGTON HEIGHTS DENTAL PRACTICE, P.C

Practice address

3928 Broadway
First Floor
New York, NY 10032-1544

Phone

(212) 543-0200

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Alexander Mikhailov, D.D.S

Title

Owner

Phone

(212) 543-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1083856827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 BROADWAY",
            "address_2": "FIRST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321544",
            "telephone_number": "212-543-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 BROADWAY",
            "address_2": "FIRST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321544",
            "telephone_number": "212-543-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HEIGHTS DENTAL PRACTICE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "MIKHAILOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-543-0200",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01100018",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Washburn, LCSW
• Naomi Washer, MFA
• Jessica Taylor Washing, LMSW
• Washington Heights Corner Project
• Washington Heights Dental
• Washington Heights G I P C
• Washington Heights Medical Associates LLC
• Washington Heights Medical of New York LLC
• Washington Heights NP in Women'S Health Servi
• Washington Heights NP in Women'S Health Services,P.C.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.