Individual provider Active NPI

Christopher Paul Kitson, D.D.S.

  • General Practice Dentistry
  • Sunnyside, NY
National Provider Identifier
1326131723
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039729 Issued in NY
Practice address
4701 Queens Blvd
Suite 407
Sunnyside, NY 11104-1600
Phone
(718) 937-6750
Fax
(718) 937-1830
NPI assigned
Sep 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 039729 NY Primary

Addresses

Primary practice location

4701 Queens Blvd
Suite 407
Sunnyside, NY 11104-1600

Mailing address

25517 Northern Blvd
Suite A1
Little Neck, NY 11362-1453
Phone (718) 428-8024

Other identifiers 1

IdentifierTypeStateIssuer
00963960MedicaidNY

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
039729NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dent-Care Dental, LLC Past Accepting new patients
Dentcaredental Office General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326131723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25517 NORTHERN BLVD",
            "address_2": "SUITE A1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621453",
            "telephone_number": "718-428-8024",
            "fax_number": "718-428-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 407",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-937-6750",
            "fax_number": "718-937-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00963960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.