Active NPI
Winston Dental, LLC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1356714968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WINSTON DENTAL, LLC
- Practice address
- 300 E 40TH St
New York, NY 10016-2188 - Phone
- (212) 905-0081
- NPI assigned
- Nov 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael I Katayev, DDS
- Title
- President
- Phone
- (212) 905-0081
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NY | Primary |
Addresses
Primary practice location
300 E 40TH St
New York, NY 10016-2188
Mailing address
300 E 40TH St
Suite B
New York, NY 10016-2188
Phone (212) 905-0081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02771566 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
300 E 40th St
Ste B
New York, NY 10016
Phone (212) 905-0081
300 E 40th St
New York, NY 10016
Phone (212) 905-0081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New York, NY
- NPI 1285843425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446681600000",
"number": "1356714968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 40TH ST",
"address_2": "SUITE B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162188",
"telephone_number": "212-905-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 40TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162188",
"telephone_number": "212-905-0081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINSTON DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-05",
"status": "A",
"authorized_official_last_name": "KATAYEV",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-905-0081",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02771566",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.