Individual provider Active NPI

Elina Kariyeva, DDS

  • General Practice Dentistry
  • Glendale, NY
National Provider Identifier
1215427596
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060736 Issued in NY
Practice address
6503 Myrtle Ave
Glendale, NY 11385-6248
Phone
(718) 821-1453
NPI assigned
May 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 060736 NY Primary

Addresses

Primary practice location

6503 Myrtle Ave
Glendale, NY 11385-6248

Mailing address

6503 Myrtle Ave
Glendale, NY 11385-6248
Phone (718) 821-1453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
060736NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ekdental P.C CurrentSince Oct 8, 2023 Accepting new patients
Richard a. Friedman DDS, PC General Practice PastSince Oct 8, 2023 Accepting new patients

Locations

6503 Myrtle Ave
Glendale, NY 11385
Phone (718) 502-9659

Organizations & group practices 2

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": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1215427596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856248",
            "telephone_number": "718-821-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856248",
            "telephone_number": "718-821-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIYEVA",
        "first_name": "ELINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.