Individual provider Active NPI

Ratilal Kadia, DDS

  • General Practice Dentistry
  • Woodside, NY
National Provider Identifier
1356330658
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035661 Issued in NY
Practice address
4705 44TH St
Woodside, NY 11377-6348
Phone
(718) 706-7770
Fax
(718) 562-2035
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 035661 NY Primary

Addresses

Primary practice location

4705 44TH St
Woodside, NY 11377-6348

Mailing address

779 Wenwood Dr
East Meadow, NY 11554-4942
Phone (718) 706-7770

Other identifiers 1

IdentifierTypeStateIssuer
00641103MedicaidNY

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
035661NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356330658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 WENWOOD DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544942",
            "telephone_number": "718-706-7770",
            "fax_number": "718-562-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 44TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776348",
            "telephone_number": "718-706-7770",
            "fax_number": "718-562-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIA",
        "first_name": "RATILAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00641103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.