NPIMap

Organization Active NPI

Nslij Dental Medicine

  • Dental Clinic/Center
  • Manhasset, NY
National Provider Identifier
1255724878
Registry record updated Oct 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NSLIJ DENTAL MEDICINE
Practice address
400 Community Dr
Manhasset, NY 11030-3815
Phone
(347) 209-4779
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2015

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

Authorized official

Name
Ms. Miranda Krivca, DDS
Title
Dental General Practice Resident
Phone
(347) 209-4779

Specialties & licenses 1

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

Addresses

Primary practice location

400 Community Dr
Manhasset, NY 11030-3815

Mailing address

400 Community Dr
Manhasset, NY 11030-3815
Phone (347) 209-4779

National Provider Directory

National Provider Directory
Tax ID family
North Shore Lij13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445644800000",
    "number": "1255724878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303815",
            "telephone_number": "347-209-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303815",
            "telephone_number": "347-209-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSLIJ DENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-10-24",
        "status": "A",
        "authorized_official_last_name": "KRIVCA",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "DENTAL GENERAL PRACTICE RESIDENT",
        "authorized_official_telephone_number": "347-209-4779",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2015; 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.