Westside Dentist, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

046914 Issued in NY

Legal business name

WESTSIDE DENTIST, P.C.

Practice address

57 W 58TH St
Suite 2C
New York, NY 10019-1630

Phone

(212) 247-5050

Fax

(212) 581-3596

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna BarantsevichNPI 1144354549

Title

President

Phone

(212) 247-5050

Specialties & licenses 1

Addresses

Tax ID family

Westside Dentist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Westside Dentist, PC

  • Dental Clinic/Center
  • New York, NY
  • NPI 1629297254
  NPD tax ID

Locations

Practitioners 1

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.

• Anna Barantsevich, DDS

  • Dentist
  • New York, NY
  • NPI 1144354549
  Authorized official Same address or phone

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1346640190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 58TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191630",
            "telephone_number": "212-247-5050",
            "fax_number": "212-581-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 58TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191630",
            "telephone_number": "212-247-5050",
            "fax_number": "212-581-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE DENTIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "BARANTSEVICH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-247-5050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "046914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Cardiology PC
• Westside Chiropractic Wellness and Rehabilitation PLLC
• Westside Community Physician P.C.
• Westside Denta
• Westside Dental P.C.
• Westside Dentist, PC
• Westside Endoscopy Obs PLLC
• Westside Family Dental Group
• Westside Family Medicine PLLC.
• Westside Internal Medicine Associates P.C.

• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.