Organization Active NPI

Merrick Dental Care

  • Dentist
  • Merrick, NY
National Provider Identifier
1184089062
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052953 Issued in NY
Legal business name
MERRICK DENTAL CARE
Practice address
1846 Merrick Ave
Merrick, NY 11566-2730
Phone
(516) 378-1725
Fax
(516) 223-6406
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Tassos S Katechis, D.D.S
Title
Owner
Phone
(516) 378-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052953 NY Primary

Addresses

Primary practice location

1846 Merrick Ave
Merrick, NY 11566-2730

Mailing address

1846 Merrick Ave
Merrick, NY 11566-2730
Phone (516) 378-1725

National Provider Directory

National Provider Directory

Locations

1846 Merrick Ave
North Merrick, NY 11566
Phone (516) 378-1725

Practitioners & affiliated clinicians

Practitioners 2

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": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1184089062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662730",
            "telephone_number": "516-378-1725",
            "fax_number": "516-223-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662730",
            "telephone_number": "516-378-1725",
            "fax_number": "516-223-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "KATECHIS",
        "authorized_official_first_name": "TASSOS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-378-1725",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.