Active NPI
Roslyn Family Dental, P.C.
- Dentist
- Roslyn Heights, NY
National Provider Identifier
1275059669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 046782-1
- Legal business name
- ROSLYN FAMILY DENTAL, P.C.
- Practice address
- 86 Mineola Ave
Roslyn Heights, NY 11577 - Phone
- (516) 395-5514
- NPI assigned
- Aug 17, 2017
- Last updated
- Aug 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alla Hart, D.D.S.
- Title
- Owner/Dentist
- Phone
- (516) 395-5514
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 046782-1 | NY | Primary |
| Dentist | 122300000X | 058786 | NY |
Addresses
Primary practice location
86 Mineola Ave
Roslyn Heights, NY 11577
Mailing address
86 Mineola Ave
Roslyn Heights, NY 11577
National Provider Directory
National Provider DirectoryLocations
86 Mineola Ave
Roslyn Heights, NY 11577
Phone (516) 271-2100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503619200000",
"number": "1275059669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "11577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "11577",
"telephone_number": "516-395-5514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSLYN FAMILY DENTAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-17",
"last_updated": "2017-08-25",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "ALLA",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "516-395-5514",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "046782-1",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "058786",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.