New Horizon Dental, P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041796 Issued in NY

Legal business name

NEW HORIZON DENTAL, P.C

Practice address

961East 174 St.
Suite B 150
Bronx, NY 10460

Phone

(718) 861-8060

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Mikhailov

Title

Owner

Phone

(718) 861-8060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144428384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961EAST 174 ST",
            "address_2": "SUITE B 150",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-861-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961EAST 174 ST.",
            "address_2": "SUITE B 150",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-861-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON DENTAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKHAILOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-861-8060"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE 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": []
}

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• General Practice Dentistry in Bronx, NY
• Providers in Bronx, 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 Aug 22, 2020; 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.