Organization Active NPI

Winston Dental, LLC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1356714968
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. Michael I Katayev, DDSNPI 1285843425
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02771566MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.