NPIMap

Organization Active NPI

Wantagh Family Orthodontics ,P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wantagh, NY
National Provider Identifier
1225436595
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
043-144 Issued in NY
Legal business name
WANTAGH FAMILY ORTHODONTICS ,P.C.
Practice address
3306 Jerusalem Ave
Wantagh, NY 11793-2014
Phone
(516) 221-0925
Fax
(516) 221-6395
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Harry J Tsotsos, DMDNPI 1588865851
Title
Orthodontist
Phone
(516) 221-0925

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 043-144 NY Primary

Addresses

Primary practice location

3306 Jerusalem Ave
Wantagh, NY 11793-2014

Mailing address

3306 Jerusalem Ave
Wantagh, NY 11793-2014
Phone (516) 221-0925

National Provider Directory

National Provider Directory

Locations

3306 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 221-0925

Practitioners & affiliated clinicians

Practitioners 2

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1225436595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 JERUSALEM AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932014",
            "telephone_number": "516-221-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 JERUSALEM AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932014",
            "telephone_number": "516-221-0925",
            "fax_number": "516-221-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANTAGH FAMILY ORTHODONTICS ,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "TSOTSOS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "516-221-0925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "043-144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.