Organization Active NPI

Western Island Dental Care PLLC

Doing business as East Meadow Family Dental

  • General Practice Dentistry
  • East Meadow, NY
National Provider Identifier
1184235939
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTERN ISLAND DENTAL CARE PLLC
Doing business as
East Meadow Family Dental
Practice address
1900 Hempstead Tpke Ste 402
East Meadow, NY 11554-1702
Phone
(516) 564-8499
NPI assigned
Aug 14, 2020
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN ISLAND DENTAL CARE (DENTAL SPECIALISTS OF EAST MEADOW)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Victor Katsman, DDSNPI 1174837322
Title
Owner
Phone
(516) 302-7372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1900 Hempstead Tpke Ste 402
East Meadow, NY 11554-1702

Mailing address

1900 Hempstead Tpke Ste 402
East Meadow, NY 11554-1702
Phone (516) 564-8499

Other identifiers 1

IdentifierTypeStateIssuer
03269418MedicaidNY

Other names 1

  • East Meadow Family Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EastMeadow@yoursmilegroup.com

National Provider Directory

National Provider Directory
Tax ID family
Western Island Dental Care PLLC2 organizations share this tax ID, including this one
Part of
Western Island Dental Care PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1900 Hempstead Tpke
Ste 402
East Meadow, NY 11554
Phone (516) 564-8499

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1184235939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HEMPSTEAD TPKE STE 402",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541702",
            "telephone_number": "516-564-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HEMPSTEAD TPKE STE 402",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541702",
            "telephone_number": "516-564-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ISLAND DENTAL CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN ISLAND DENTAL CARE (DENTAL SPECIALISTS OF EAST MEADOW)",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "KATSMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-302-7372",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03269418",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EastMeadow@yoursmilegroup.com",
            "affiliation": "N",
            "address_1": "1900 Hempstead Tpke Ste 402",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115541702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "East Meadow Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.