NPIMap

Organization Active NPI

Astoria Dental Design

Doing business as Midtown Dental Design

  • Dentist
  • New York, NY
National Provider Identifier
1366818627
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0516041 Issued in NY
Legal business name
ASTORIA DENTAL DESIGN
Doing business as
Midtown Dental Design
Practice address
45 W 54TH St
Ste 1E
New York, NY 10019-5404
Phone
(212) 572-9800
Fax
(347) 436-9569
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Andrea Shivrattan
Title
Office Manager
Phone
(212) 572-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0516041 NY Primary

Addresses

Primary practice location

45 W 54TH St
Ste 1E
New York, NY 10019-5404

Mailing address

45 W 54TH St
Ste 1E
New York, NY 10019-5404
Phone (212) 572-9800

Other names 1

  • Midtown Dental Design Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Astoria Dental Design2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1366818627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 54TH ST",
            "address_2": "STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195404",
            "telephone_number": "212-572-9800",
            "fax_number": "347-436-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 54TH ST",
            "address_2": "STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195404",
            "telephone_number": "212-572-9800",
            "fax_number": "347-436-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA DENTAL DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "SHIVRATTAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-572-9800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0516041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Dental Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 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.