Organization Active NPI

Junction Dental

  • General Practice Dentistry
  • Corona, NY
National Provider Identifier
1306007968
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048767 Issued in NY
Legal business name
JUNCTION DENTAL
Practice address
3809 Junction Blvd
Corona, NY 11368-2153
Phone
(718) 639-7100
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Sandeep Bhagat, DMD
Title
Owner
Phone
(718) 639-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 048767 NY Primary

Addresses

Primary practice location

3809 Junction Blvd
Corona, NY 11368-2153

Mailing address

3809 Junction Blvd
Corona, NY 11368-2153
Phone (718) 639-7100

Other identifiers 1

IdentifierTypeStateIssuer
02074784MedicaidNY

National Provider Directory

National Provider Directory

Locations

3809 Junction Blvd
Flushing, NY 11368
Phone (315) 794-4407

Practitioners & affiliated clinicians

Practitioners 2

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": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1306007968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682153",
            "telephone_number": "718-639-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682153",
            "telephone_number": "718-639-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BHAGAT",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-639-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.