Ideal Dental Implants

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

047563 Issued in NY

Legal business name

IDEAL DENTAL IMPLANTS

Doing business as

Idi

Practice address

319 Willis Ave
Mineola, NY 11501-1510

Phone

(516) 487-6453

NPI assigned

Aug 6, 2014

Organization subpart

Yes

Parent organization

IDEAL DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Dr. Panagiotis Glavas, DDSNPI 1619930864

Title

Ceo

Phone

(516) 487-6453

Specialties & licenses 1

Addresses

Other names 1

• IDI Doing business as

Part of

Ideal Dental Implants

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ideal Dental Care

  • Dentist
  • Great Neck, NY
  • NPI 1467574871
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Panagiotis Glavas, DDS

  • Prosthodontics
  • Manhasset, NY
  • NPI 1619930864
  NPD (past) Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1144639857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011510",
            "telephone_number": "516-487-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011510",
            "telephone_number": "516-487-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL IMPLANTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDEAL DENTAL CARE",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "GLAVAS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-487-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "047563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dinh Buu Huynh, RPH
• Gul Hwang, MD, PHD
• Stacy Hyland, PA-C
• Sabrina Kate Ibabao
• Icahn School of Medicine at Mount Sinai (Mount Sinai Doctors Liha)
• Joseph Idoko, MD
• Raghu Idupuganti, DO
• Kiran Iftikhar, RPA-C
• Ilanits Childcare Inc
• Viktoriya Ilina-Levy, RN, IBCLC

• Dental Clinic/Center in Mineola, NY
• Providers in Mineola, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.