Active NPI
Slavko P Duzdevich, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1285787721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 040229
- Practice address
- 53 West 72ND St. 2ND Floor
Prosmile
New York, NY 10023 - Phone
- (212) 799-8040
- Fax
- (212) 799-8190
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 040229 | NY | Primary |
Addresses
Primary practice location
53 West 72ND St. 2ND Floor
Prosmile
New York, NY 10023
Mailing address
53 West 72ND St. 2ND Floor
Prosmile
New York, NY 10023
Phone (212) 799-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285787721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 WEST 72ND ST. 2ND FLOOR",
"address_2": "PROSMILE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-799-8040",
"fax_number": "212-799-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 WEST 72ND ST. 2ND FLOOR",
"address_2": "PROSMILE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-799-8040",
"fax_number": "212-799-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUZDEVICH",
"first_name": "SLAVKO",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "040229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.