NPIMap

Organization Active NPI

RSK Dental Services Si PC

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1184490963
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RSK DENTAL SERVICES SI PC
Practice address
255 Clawson St
Staten Island, NY 10306-3019
Phone
(171) 833-1433
Fax
(718) 980-4495
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Dr. Raymond Krietchman, D.D.S.NPI 1932101185
Title
Dentist
Phone
(917) 846-5051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

255 Clawson St
Staten Island, NY 10306-3019

Mailing address

255 Clawson St
Staten Island, NY 10306-3019
Phone (718) 980-4493

National Provider Directory

National Provider Directory

Locations

255 Clawson St
Staten Island, NY 10306

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": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1184490963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CLAWSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063019",
            "telephone_number": "718-980-4493",
            "fax_number": "718-980-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CLAWSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063019",
            "telephone_number": "171-833-1433",
            "fax_number": "718-980-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSK DENTAL SERVICES SI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "KRIETCHMAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-846-5051",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.