Individual provider Active NPI

Angela Germanakos, D.D.S.

  • General Practice Dentistry
  • Whitestone, NY
National Provider Identifier
1306982889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
434041 Issued in NY
Practice address
14921 14TH Ave
Whitestone, NY 11357-1729
Phone
(718) 746-1415
Fax
(718) 746-3082
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 434041 NY Primary

Addresses

Primary practice location

14921 14TH Ave
Whitestone, NY 11357-1729

Mailing address

436 Broadway
Bethpage, NY 11714-2817
Phone (516) 316-0935

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

State licenses

LicenseStateTypeSpecialty
434041NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306982889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 BROADWAY",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142817",
            "telephone_number": "516-316-0935",
            "fax_number": "718-746-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14921 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571729",
            "telephone_number": "718-746-1415",
            "fax_number": "718-746-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANAKOS",
        "first_name": "ANGELA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "434041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, 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.

Verify at the official NPI Registry.