Individual provider Active NPI

Elina Kats, DDS

  • Dentist
  • Jackson Heights, NY
National Provider Identifier
1194988519
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052922-1 Issued in NY
Practice address
9211 35TH Ave Apt 1K
Jackson Heights, NY 11372-5844
Phone
(718) 426-2231
Fax
(718) 426-2232
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052922-1 NY Primary

Addresses

Primary practice location

9211 35TH Ave Apt 1K
Jackson Heights, NY 11372-5844

Mailing address

9211 35TH Ave Apt 1K
Jackson Heights, NY 11372-5844
Phone (718) 426-2231

Other identifiers 1

IdentifierTypeStateIssuer
03079930MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618000173 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870804826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052922-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
D&L Dental PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1194988519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 35TH AVE APT 1K",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725844",
            "telephone_number": "718-426-2231",
            "fax_number": "718-426-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 35TH AVE APT 1K",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725844",
            "telephone_number": "718-426-2231",
            "fax_number": "718-426-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATS",
        "first_name": "ELINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052922-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03079930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.