Active NPI
Village Dental P.C.
- General Practice Dentistry
- Forest Hills, NY
National Provider Identifier
1275165920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Bryan Levy, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Forest Hills, NY
- NPI 1720335599
-
- General Practice Dentistry
- Forest Hills, NY
- NPI 1336458348
-
- General Practice Dentistry
- Forest Hills, NY
- NPI 1407947724
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.