Individual provider Active NPI

Arthur H Kubikian, D.D.S.

  • Endodontics
  • New York City, NY
National Provider Identifier
1235175407
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
031897 Issued in NY
Practice address
345 East 24TH Street
7W
New York City, NY 10010
Phone
(212) 998-9428
Fax
(718) 729-8688
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 031897 NY
Endodontics 1223E0200X 031897 NY Primary

Addresses

Primary practice location

345 East 24TH Street
7W
New York City, NY 10010

Mailing address

100 Carlyle Drive
9 MN
Cliffside Park, NJ 07010-3284
Phone (516) 527-7397

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
I20150320001124 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2567789035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1235175407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARLYLE DRIVE",
            "address_2": "9 MN",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103284",
            "telephone_number": "516-527-7397",
            "fax_number": "718-729-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EAST 24TH STREET",
            "address_2": "7W",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-998-9428",
            "fax_number": "718-729-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIKIAN",
        "first_name": "ARTHUR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031897",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "031897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

Verify at the official NPI Registry.