Kane Dental of Farmingdale

Primary specialty

DentistTaxonomy code 122300000X

License

049789-1 Issued in NY

Legal business name

KANE DENTAL OF FARMINGDALE

Practice address

1111 Broadhollow Rd
Suite 210
Farmingdale, NY 11735-4820

Phone

(631) 756-5656

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Rebekah Kane, D.D.S.

Title

Owner

Phone

(516) 931-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1184022907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014011",
            "telephone_number": "516-931-4500",
            "fax_number": "516-931-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BROADHOLLOW RD",
            "address_2": "SUITE 210",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354820",
            "telephone_number": "631-756-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANE DENTAL OF FARMINGDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-931-4500",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049789-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02280995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Michael Kahn, D.D.S.
• Karen A Kahn, RPH
• Donna Kaires, MA, CCC-SLP
• Ginamarie Kallansrude
• Mike M Kalogiannis, DMD
• Munzer Basheer Kara, D.D.S.
• Ilene Karp, M.S.W.
• Karyn Elise Morra L C S W P C
• Evangelia Katsamanis, RPH
• Allison Sarah Katz, LMSW

• Dentist in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.