Organization Active NPI

Village Dental P.C.

  • General Practice Dentistry
  • Forest Hills, NY
National Provider Identifier
1275165920
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VILLAGE DENTAL P.C.
Practice address
11055 72ND Rd Ste L1
Forest Hills, NY 11375-5420
Phone
(718) 268-1028
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Dr. Andrew Bryan Levy, DDSNPI 1720335599
Title
Owner/Dentist
Phone
(718) 268-1028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11055 72ND Rd Ste L1
Forest Hills, NY 11375-5420

Mailing address

11055 72ND Rd Ste L1
Forest Hills, NY 11375-5420
Phone (718) 268-1028

National Provider Directory

National Provider Directory

Locations

11055 72nd Rd
Ste L1
Forest Hills, NY 11375
Phone (718) 268-1028

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1275165920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 72ND RD STE L1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755420",
            "telephone_number": "718-268-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 72ND RD STE L1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755420",
            "telephone_number": "718-268-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "718-268-1028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.