Organization Active NPI

Hollis Dental Care PC

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1174794432
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043257-1 Issued in NY
Legal business name
HOLLIS DENTAL CARE PC
Practice address
4741 Hollis Court Blvd
Flushing, NY 11358-3944
Phone
(718) 423-9111
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Magdy Elsharouny, D.D.S.
Title
Owner
Phone
(718) 423-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 043257-1 NY Primary

Addresses

Primary practice location

4741 Hollis Court Blvd
Flushing, NY 11358-3944

Mailing address

4741 Hollis Court Blvd
Flushing, NY 11358-3944
Phone (718) 423-9111

Other identifiers 1

IdentifierTypeStateIssuer
9176501OtherNYDORAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1174794432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 HOLLIS COURT BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583944",
            "telephone_number": "718-423-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 HOLLIS COURT BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583944",
            "telephone_number": "718-423-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "ELSHAROUNY",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-423-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043257-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9176501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.