Organization Active NPI

Ak Dental PC

  • Dental Clinic/Center
  • Flushing, NY
National Provider Identifier
1235344797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
050248 Issued in NY
Legal business name
AK DENTAL PC
Practice address
142-42A 41Ave
Flushing, NY 11355
Phone
(718) 445-5370
Fax
(718) 445-5377
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arkadiy Khaitov, DDS
Title
Dentist
Phone
(718) 445-5370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 050248 NY Primary

Addresses

Primary practice location

142-42A 41Ave
Flushing, NY 11355

Mailing address

142-42A 41Ave
Flushing, NY 11355
Phone (718) 445-5370

National Provider Directory

National Provider Directory

Locations

14242 41st Ave
Ste A
Flushing, NY 11355
Phone (718) 445-5370

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235344797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-42A 41AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-445-5370",
            "fax_number": "718-445-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142-42A 41AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-445-5370",
            "fax_number": "718-445-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAITOV",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-445-5370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "050248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.