Individual provider Active NPI

Alla Temkin, DDS

  • General Practice Dentistry
  • Rego Park, NY
National Provider Identifier
1144403957
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045041 Issued in NY
Practice address
97-12 63Rd Drive Suite 1C
Rego Park, NY 11374
Phone
(718) 275-3311
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045041 NY Primary

Addresses

Primary practice location

97-12 63Rd Drive Suite 1C
Rego Park, NY 11374

Mailing address

97-12 63Rd Drive Suite 1C
Rego Park, NY 11374

Other identifiers 1

IdentifierTypeStateIssuer
01470740MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
045041NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rego Park Dental P.C. General Practice Current Accepting new patients

Locations

9712 63rd Dr
Ste 1C
Rego Park, NY 11374
Phone (718) 275-3311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1144403957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97-12 63RD DRIVE SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97-12 63RD DRIVE SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-275-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMKIN",
        "first_name": "ALLA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470740",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.