NPIMap

Organization Active NPI

FGC Dental PC

  • Dentist
  • Flushing, NY
National Provider Identifier
1306012273
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
037981-1 Issued in NY
Legal business name
FGC DENTAL PC
Practice address
3511 Farrington St
Flushing, NY 11354-2826
Phone
(718) 463-7676
Fax
(718) 886-1413
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Gilbert Kim, DDS
Title
President
Phone
(718) 463-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 037981-1 NY Primary

Addresses

Primary practice location

3511 Farrington St
Flushing, NY 11354-2826

Mailing address

3511 Farrington St
Flushing, NY 11354-2826
Phone (718) 463-7676

Other identifiers 1

IdentifierTypeStateIssuer
00861156MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
FGC Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1306012273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 FARRINGTON ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542826",
            "telephone_number": "718-463-7676",
            "fax_number": "718-886-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 FARRINGTON ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542826",
            "telephone_number": "718-463-7676",
            "fax_number": "718-886-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FGC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-463-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "037981-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00861156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.