Organization Active NPI

Dental Arts Kew Gardens, PC

  • General Practice Dentistry
  • Kew Gardens, NY
National Provider Identifier
1184071912
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057816 Issued in NY
Legal business name
DENTAL ARTS KEW GARDENS, PC
Practice address
12320 Metropolitan Ave
Kew Gardens, NY 11415-2710
Phone
(718) 441-0049
Fax
(718) 441-0537
NPI assigned
May 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Mr. Andrew Crouch
Title
Office Manager
Phone
(718) 441-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 057816 NY Primary

Addresses

Primary practice location

12320 Metropolitan Ave
Kew Gardens, NY 11415-2710

Mailing address

12320 Metropolitan Ave
Kew Gardens, NY 11415-2710
Phone (718) 441-0049

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1184071912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152710",
            "telephone_number": "718-441-0049",
            "fax_number": "718-441-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152710",
            "telephone_number": "718-441-0049",
            "fax_number": "718-441-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS KEW GARDENS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-441-0049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.