NPIMap

Organization Active NPI

Brad S Hantverk DDS PC

  • Dental Clinic/Center
  • Astoria, NY
National Provider Identifier
1316207848
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
36010 Issued in NY
Legal business name
BRAD S HANTVERK DDS PC
Practice address
2806 Steinway St
Astoria, NY 11103-3338
Phone
(718) 932-8880
Fax
(718) 545-6059
NPI assigned
May 17, 2012
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Dr. Brad S Hantverk, DDSNPI 1053328377
Title
Officer
Phone
(718) 932-8880

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
Dental Clinic/Center 261QD0000X 36010 NY Primary

Addresses

Primary practice location

2806 Steinway St
Astoria, NY 11103-3338

Mailing address

2806 Steinway St
Astoria, NY 11103-3338
Phone (718) 932-8880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1316207848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033338",
            "telephone_number": "718-932-8880",
            "fax_number": "718-545-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033338",
            "telephone_number": "718-932-8880",
            "fax_number": "718-545-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD S HANTVERK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "HANTVERK",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-932-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "36010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.