Organization Active NPI

Dendac Dentist PC

  • Dentist
  • Astoria, NY
National Provider Identifier
1356513170
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043268 Issued in NY
Legal business name
DENDAC DENTIST PC
Practice address
3317 30TH Ave
Astoria, NY 11103-4680
Phone
(718) 267-0500
Fax
(718) 267-2784
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Ferdous Husne, D.D.S.
Title
Vice President
Phone
(718) 478-1710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043268 NY Primary

Addresses

Primary practice location

3317 30TH Ave
Astoria, NY 11103-4680

Mailing address

3317 30TH Ave
Astoria, NY 11103-4680
Phone (718) 267-0500

Other identifiers 1

IdentifierTypeStateIssuer
6925OtherNYDORAL DENTAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1356513170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034680",
            "telephone_number": "718-267-0500",
            "fax_number": "718-267-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034680",
            "telephone_number": "718-267-0500",
            "fax_number": "718-267-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENDAC DENTIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HUSNE",
        "authorized_official_first_name": "FERDOUS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-478-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "6925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.