Organization Active NPI

Total Dental Care of Staten Island, P.C.

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1225468432
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50055536 Issued in NY
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

Updated by the provider on Nov 25, 2013

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 50055536 NY Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.