Dentserv Dental Services, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

035119-01 Issued in NY

Legal business name

DENTSERV DENTAL SERVICES, PC

Practice address

15 Canal Road
Pelham Manor, NY 10803

Phone

(718) 362-1411

Fax

(718) 414-1651

NPI assigned

Aug 14, 2012

Last updated

Dec 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Newman

Title

Chief Operating Officer

Phone

(718) 362-1411

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Martin Cukier, DDS

  • Dentist
  • Pelham, NY
  • NPI 1851657381
  NPD

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1194072793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-414-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CANAL ROAD",
            "city": "PELHAM MANOR",
            "state": "NY",
            "postal_code": "10803",
            "telephone_number": "718-362-1411",
            "fax_number": "718-414-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTSERV DENTAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-362-1411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "035119-1",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "035119-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BJ's Wholesale Club Inc.
• John P. Brady, DDS
• Yolanda Iacovella, RPH, RPA-C
• Nyfoundling Hospital Aka St Agathas Pelham Manor Icf
• Robert E Philpot Jr., DMD
• Sandra Zupicich, PHD

• Dental Clinic/Center in Pelham Manor, NY
• Providers in Pelham Manor, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.