Active NPI
Total Dental Care of Staten Island, P.C.
- General Practice Dentistry
- Staten Island, NY
National Provider Identifier
1225468432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50055536
- Legal business name
- TOTAL DENTAL CARE OF STATEN ISLAND, P.C.
- Practice address
- 135 Willowbrook Road
Staten Island, NY 10302 - Phone
- (718) 448-1144
- Fax
- (718) 815-9028
- NPI assigned
- Nov 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Lyle Zatcoff, DMD
- Title
- Owner
- Phone
- (718) 448-1144
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50055536 | NY | Primary |
| Periodontics | 1223P0300X | 051010 | NY |
Addresses
Primary practice location
135 Willowbrook Road
Staten Island, NY 10302
Mailing address
135 Willowbrook Road
Staten Island, NY 10302
Phone (718) 448-1144
National Provider Directory
National Provider DirectoryLocations
135 Willowbrook Rd
Staten Island, NY 10302
Phone (718) 448-1144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385337600000",
"number": "1225468432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 WILLOWBROOK ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10302",
"telephone_number": "718-448-1144",
"fax_number": "718-815-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 WILLOWBROOK ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10302",
"telephone_number": "718-448-1144",
"fax_number": "718-815-9028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL DENTAL CARE OF STATEN ISLAND, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A",
"authorized_official_last_name": "ZATCOFF",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "LYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-448-1144",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "50055536",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "051010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.