Kenneth R. Siva, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36722 Issued in NY

Legal business name

KENNETH R. SIVA, D.D.S., P.C.

Practice address

5847 Francis Lewis Blvd
Suite 104
Oakland Gardens, NY 11364-1601

Phone

(718) 428-2626

Fax

(718) 631-9426

NPI assigned

Aug 22, 2006

Last updated

Aug 22, 2020By 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. Kenneth R. Siva, D.D.S.NPI 1023013919

Title

President

Phone

(718) 428-2626

Specialties & licenses 1

Addresses

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.

• Kenneth R. Siva, D.D.S.

  • General Practice Dentistry
  • Oakland Gardens, NY
  • NPI 1023013919
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356457394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 104",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-428-2626",
            "fax_number": "718-631-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 104",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-428-2626",
            "fax_number": "718-631-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. SIVA, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIVA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-428-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "36722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarbjit Kaur, OT
• Simran Kaur
• Joan Kavadlo-Cohen, MSPED
• Kenetic Physical Therapy PC
• Paige Kenis
• Annie Keung, D.M.D.
• Dmitry Khodik, M.ED.
• Tatyana Khodik, M.S., OTR/L
• Chang Jong Kim
• Grace Eunhae Kim

• General Practice Dentistry in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.