Organization Active NPI

Am Dental, PC

  • General Practice Dentistry
  • Long Island City, NY
National Provider Identifier
1104598283
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AM DENTAL, PC
Practice address
3080 21St St
Long Island City, NY 11102-4242
Phone
(518) 284-3588
Fax
(929) 294-7624
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Dr. Arkadiy MurdukhayevNPI 1588198196
Title
Owner/General Dentist
Phone
(518) 284-3588

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3080 21St St
Long Island City, NY 11102-4242

Mailing address

3080 21St St
Long Island City, NY 11102-4242
Phone (518) 284-3588

Other names 1

  • Astoria City Dental, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Am Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1104598283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "518-284-3588",
            "fax_number": "929-294-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "518-284-3588",
            "fax_number": "929-294-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "MURDUKHAYEV",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "518-284-3588",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astoria City Dental, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.