Organization Active NPI

Dombroff & Dos Santos DMDS PLLC

  • General Practice Dentistry
  • Syosset, NY
National Provider Identifier
1194821454
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048052 Issued in NY
Legal business name
DOMBROFF & DOS SANTOS DMDS PLLC
Practice address
175 Jericho Turnpike
Suite 307a
Syosset, NY 11791
Phone
(516) 921-4141
Fax
(316) 921-4148
NPI assigned
Sep 15, 2006
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Celestino Marques Dos Santos, DMDNPI 1588008346
Title
Owner Dentist
Phone
(516) 921-4141

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 029628 NY
General Practice Dentistry 1223G0001X 048052 NY Primary

Addresses

Primary practice location

175 Jericho Turnpike
Suite 307a
Syosset, NY 11791

Mailing address

175 Jericho Turnpike
Suite 307a
Syosset, NY 11791
Phone (516) 921-4141

Other names 1

  • Elliott J Dombroff DMD & Celestino M Dos Santos DMD Other name

National Provider Directory

National Provider Directory

Locations

175 Jericho Tpke
Ste 307A
Syosset, NY 11791
Phone (516) 921-4141

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1194821454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TURNPIKE",
            "address_2": "SUITE 307A",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-921-4141",
            "fax_number": "316-921-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TURNPIKE",
            "address_2": "SUITE 307A",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-921-4141",
            "fax_number": "316-921-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMBROFF & DOS SANTOS DMDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "DOS SANTOS",
        "authorized_official_first_name": "CELESTINO",
        "authorized_official_middle_name": "MARQUES",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "516-921-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029628",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliott J Dombroff DMD & Celestino M Dos Santos DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.