Peter Yelizar DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0568111-1 Issued in NY

Legal business name

PETER YELIZAR DDS PLLC

Practice address

400 S Oyster Bay Rd Ste 105
Hicksville, NY 11801-3500

Phone

(347) 685-9511

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Peter Yelizar, DDSNPI 1962760454

Title

General Dentist

Phone

(347) 685-9511

Specialties & licenses 1

Addresses

Other names 1

• simplismiles Doing business as

Practitioners 1

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

• Peter Yelizar, DDS

  • General Practice Dentistry
  • Hicksville, NY
  • NPI 1962760454
  NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1356864482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD STE 105",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD STE 105",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "347-685-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER YELIZAR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "YELIZAR",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "347-685-9511",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0568111-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "simplismiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "simplismiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher James Perrone, DC
• Andrea Perry
• Hema D Persaud, LMSW
• Amy Elizabeth Peruvingal, PHARMD
• Peter a Chidichimo, PT,PC
• Meaghan D Petersen, RN
• Laurie Pezzullo, LMSW, CHC, CDM
• Pharm Source Inc
• Jonell Phelps
• Emery Philip

• General Practice Dentistry in Hicksville, NY
• Providers in Hicksville, 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 Jul 20, 2017; 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.