Active NPI
Dzenis Orthopaedics, M.D., P.C.
- Specialist
- Flushing, NY
National Provider Identifier
1316136161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 154791
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000374 | NY | Part B Supplier - Clinic/Group Practice | 4284603929 |
Receives reassigned benefits from 1 practitioner Practice locations: Flushing, NY |
National Provider Directory
National Provider DirectoryLocations
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.