Active NPI
Giffords Dental, P.C.
- General Practice Dentistry
- Staten Island, NY
National Provider Identifier
1093295735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059157
- Legal business name
- GIFFORDS DENTAL, P.C.
- Practice address
- 79 Giffords LN
Staten Island, NY 10308-2411 - Phone
- (718) 984-4404
- NPI assigned
- Aug 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Cisternas, DDS
- Title
- President
- Phone
- (917) 414-4993
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052816 | NY | |
| General Practice Dentistry | 1223G0001X | 059157 | NY | Primary |
| Periodontics | 1223P0300X | 029974 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 049017 | NY |
Addresses
Primary practice location
79 Giffords LN
Staten Island, NY 10308-2411
Mailing address
PO Box 90081
Staten Island, NY 10309-0081
Phone (917) 414-4993
Other names 1
- Giffords Dental, P.C.
National Provider Directory
National Provider DirectoryLocations
79 Giffords Ln
Staten Island, NY 10308
Phone (718) 984-4404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Staten Island, NY
- NPI 1902001811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1093295735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90081",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103090081",
"telephone_number": "917-414-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 GIFFORDS LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082411",
"telephone_number": "718-984-4404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIFFORDS DENTAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "CISTERNAS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-414-4993",
"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": "052816",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059157",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "029974",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "049017",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Giffords Dental, P.C.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Giffords Dental, P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.