Active NPI
FGC Dental PC
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1104127539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FGC DENTAL PC
- Practice address
- 13620 38TH Ave FL 3
Flushing, NY 11354-4233 - Phone
- (718) 321-1158
- Fax
- (718) 321-1195
- NPI assigned
- Nov 17, 2010
- 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. Gilbert Young Kim, DDS
- Title
- President
- Phone
- (718) 321-1158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NY | Primary |
Addresses
Primary practice location
13620 38TH Ave FL 3
Flushing, NY 11354-4233
Mailing address
PO Box 545496
Flushing, NY 11354-7996
Phone (718) 321-1158
National Provider Directory
National Provider Directory- Tax ID family
- FGC Dental PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Flushing, NY
- NPI 1306012273
Locations
13620 38th Ave
Fl 3
Flushing, NY 11354
Phone (718) 321-1158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1104127539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 545496",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113547996",
"telephone_number": "718-321-1158",
"fax_number": "718-321-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 38TH AVE FL 3",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544233",
"telephone_number": "718-321-1158",
"fax_number": "718-321-1195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FGC DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "GILBERT",
"authorized_official_middle_name": "YOUNG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-321-1158",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.