Organization Active NPI

Steven H. Gold, D.D.S., P.C.

  • General Practice Dentistry
  • Rego Park, NY
National Provider Identifier
1306989264
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030166 Issued in NY
Legal business name
STEVEN H. GOLD, D.D.S., P.C.
Practice address
97-37 63Rd Road
Suite 1K
Rego Park, NY 11374
Phone
(718) 897-2900
Fax
(718) 897-6363
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Steven H. Gold, D.D.S.
Title
President
Phone
(718) 897-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 030166 NY Primary

Addresses

Primary practice location

97-37 63Rd Road
Suite 1K
Rego Park, NY 11374

Mailing address

97-37 63Rd Road
Suite 1K
Rego Park, NY 11374
Phone (718) 897-2900

Other identifiers 1

IdentifierTypeStateIssuer
00286315MedicaidNY

National Provider Directory

National Provider Directory

Locations

9737 63rd Rd
Ste 1K
Rego Park, NY 11374
Phone (718) 897-2900

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1306989264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97-37 63RD ROAD",
            "address_2": "SUITE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-897-2900",
            "fax_number": "718-897-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97-37 63RD ROAD",
            "address_2": "SUITE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-897-2900",
            "fax_number": "718-897-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN H. GOLD, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-897-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00286315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.