NPIMap

Organization Active NPI

Total Dental Care of Farmingville, LLP

  • Dentist
  • Farmingville, NY
National Provider Identifier
1194949925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
026970 Issued in NY
Legal business name
TOTAL DENTAL CARE OF FARMINGVILLE, LLP
Practice address
1025 Portion Rd Ste H
Farmingville, NY 11738-2291
Phone
(631) 696-0100
Fax
(631) 696-4159
NPI assigned
Apr 12, 2007
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
Alan Hekerstein, DDS
Title
Owner
Phone
(631) 696-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 026970 NY Primary

Addresses

Primary practice location

1025 Portion Rd Ste H
Farmingville, NY 11738-2291

Mailing address

1025 Portion Rd Ste H
Farmingville, NY 11738-2291
Phone (631) 696-0100

National Provider Directory

National Provider Directory

Locations

1025 Portion Rd
Ste H
Farmingville, NY 11738
Phone (631) 696-0100

Practitioners & affiliated clinicians

Practitioners 7

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194949925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 PORTION RD STE H",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382291",
            "telephone_number": "631-696-0100",
            "fax_number": "631-696-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PORTION RD STE H",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382291",
            "telephone_number": "631-696-0100",
            "fax_number": "631-696-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DENTAL CARE OF FARMINGVILLE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEKERSTEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-696-0100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "026970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, 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.