Individual provider Active NPI

Katrin Tamari

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1346224672
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046730 Issued in NY
Practice address
15 Bond St
Suite203
Great Neck, NY 11021-2002
Phone
(516) 330-2661
Fax
(516) 498-9700
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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 046730 NY Primary

Addresses

Primary practice location

15 Bond St
Suite203
Great Neck, NY 11021-2002

Mailing address

15 Bond St
Great Neck, NY 11021-2002
Phone (516) 330-2661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001114 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7416248711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1346224672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212002",
            "telephone_number": "516-330-2661",
            "fax_number": "516-498-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOND ST",
            "address_2": "SUITE203",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212002",
            "telephone_number": "516-330-2661",
            "fax_number": "516-498-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMARI",
        "first_name": "KATRIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.