Organization Active NPI

Roslyn Family Dental, P.C.

  • Dentist
  • Roslyn Heights, NY
National Provider Identifier
1275059669
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046782-1 Issued in NY
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 046782-1 NY Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.