Organization Active NPI

Dzenis Orthopaedics, M.D., P.C.

  • Specialist
  • Flushing, NY
National Provider Identifier
1316136161
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
154791 Issued in NY
Legal business name
DZENIS ORTHOPAEDICS, M.D., P.C.
Practice address
5510 Main St
Flushing, NY 11355-5050
Phone
(718) 463-9220
Fax
(718) 463-9214
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Dr. Peteris E Dzenis, M.D.NPI 1982637898
Title
M.D.
Phone
(718) 463-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 154791 NY Primary

Addresses

Primary practice location

5510 Main St
Flushing, NY 11355-5050

Mailing address

5510 Main St
Flushing, NY 11355-5050
Phone (718) 463-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000374 NY Part B Supplier - Clinic/Group Practice 4284603929 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

5510 Main St
Flushing, NY 11355
Phone (718) 463-9220

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1316136161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555050",
            "telephone_number": "718-463-9220",
            "fax_number": "718-463-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555050",
            "telephone_number": "718-463-9220",
            "fax_number": "718-463-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DZENIS ORTHOPAEDICS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "DZENIS",
        "authorized_official_first_name": "PETERIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-463-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "154791",
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.