Blvd Plaza Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

052418-1 Issued in NY

Legal business name

BLVD PLAZA DENTAL PC

Doing business as

Blvd Dental Center

Practice address

4221 Francis Lewis Blvd
Bayside, NY 11361-2573

Phone

(718) 279-8202

Fax

(718) 279-8205

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Christopher George Mihalios, DDS

Title

Owner

Phone

(718) 279-8202

Specialties & licenses 2

Addresses

Other names 1

• Blvd Dental Center Doing business as

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1255670196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612573",
            "telephone_number": "718-279-8202",
            "fax_number": "718-279-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612573",
            "telephone_number": "718-279-8202",
            "fax_number": "718-279-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLVD PLAZA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "MIHALIOS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-279-8202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052418-1",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "0557791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blvd Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria A Blazek, RDH
• Mary Blehein
• Claudia Gina Block, MS ED
• Tammy Bloom, FNP
• Jeremy Blumstein, OTR/L
• Pow-Foon Boey, MA, PT
• Christina Z. Bogdos, M.S.ED
• Irene Bokser, DDS
• Stephanie Bolanos, FNP-BC
• Katherine A Bonilla

• Dentist in Bayside, NY
• Providers in Bayside, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.