Individual provider Active NPI

Ronald S Ghiz, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1174744338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
029177 Issued in NY
Practice address
488 Madison Avenue
New York, NY 10022-5709
Phone
(212) 759-9797
Fax
(212) 759-9262
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 029177 NY Primary

Addresses

Primary practice location

488 Madison Avenue
New York, NY 10022-5709

Mailing address

488 Madison Avenue
Suite 1712
New York, NY 10022-5709
Phone (212) 759-9797

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
029177NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174744338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 MADISON AVENUE",
            "address_2": "SUITE 1712",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225709",
            "telephone_number": "212-759-9797",
            "fax_number": "212-759-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 MADISON AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225709",
            "telephone_number": "212-759-9797",
            "fax_number": "212-759-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIZ",
        "first_name": "RONALD",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "029177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.