NPIMap

Organization Active NPI

Forest Hills Dental ,P.C.

  • General Practice Dentistry
  • Forest Hills, NY
National Provider Identifier
1194741546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046175 Issued in NY
Legal business name
FOREST HILLS DENTAL ,P.C.
Practice address
10210 66TH Rd
Suite 1D
Forest Hills, NY 11375-2047
Phone
(718) 275-9792
Fax
(718) 997-8362
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory Mark, D.D.S.NPI 1891784153
Title
Owner
Phone
(718) 275-9792

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 046175 NY Primary

Addresses

Primary practice location

10210 66TH Rd
Suite 1D
Forest Hills, NY 11375-2047

Mailing address

10210 66TH Rd
Suite 1D
Forest Hills, NY 11375-2047
Phone (718) 275-9792

National Provider Directory

National Provider Directory

Locations

10210 66th Rd
Ste 1D
Forest Hills, NY 11375
Phone (718) 275-9792

Practitioners & affiliated clinicians

Practitioners 3

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194741546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 66TH RD",
            "address_2": "SUITE 1D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752047",
            "telephone_number": "718-275-9792",
            "fax_number": "718-997-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 66TH RD",
            "address_2": "SUITE 1D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752047",
            "telephone_number": "718-275-9792",
            "fax_number": "718-997-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS DENTAL ,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-275-9792",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.