Organization Active NPI

North Shore Family Dental Care PLLC

  • General Practice Dentistry
  • Roslyn, NY
National Provider Identifier
1144812975
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTH SHORE FAMILY DENTAL CARE PLLC
Practice address
1044 Northern Blvd Ste 106
Roslyn, NY 11576-1507
Phone
(516) 625-0088
Fax
(516) 625-0008
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Katie Figueroa
Title
Practice Administrator
Phone
(516) 625-0088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

1044 Northern Blvd Ste 106
Roslyn, NY 11576-1507

Mailing address

1044 Northern Blvd Ste 106
Roslyn, NY 11576-1507
Phone (516) 625-0088

Other identifiers 4

IdentifierTypeStateIssuer
1710483425OtherNPPES
1730327537OtherNPPES
1063909950OtherNPPES
1366916215OtherNPPES

Other names 1

  • TOOTHDOCS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Outlook

National Provider Directory

National Provider Directory

Locations

1044 Northern Blvd
Ste 106
Roslyn, NY 11576
Phone (516) 625-0088

Practitioners & affiliated clinicians

Practitioners 3

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1144812975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD STE 106",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761507",
            "telephone_number": "516-625-0088",
            "fax_number": "516-625-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD STE 106",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761507",
            "telephone_number": "516-625-0088",
            "fax_number": "516-625-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FAMILY DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "516-625-0088"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1710483425",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1730327537",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1063909950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1366916215",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Outlook",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1044 Northern Blvd Ste 106",
            "city": "Roslyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115761507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TOOTHDOCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.