NPIMap

Organization Active NPI

Elikashvili & Kulick Dental Associates, PLLC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1366914806
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELIKASHVILI & KULICK DENTAL ASSOCIATES, PLLC
Practice address
471 3Rd Ave
New York, NY 10016
Phone
(212) 725-7017
Fax
(212) 725-7017
NPI assigned
Dec 21, 2018
Organization subpart
Yes
Parent organization
ELIKASHVILI & KULICK DENTAL ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Authorized official

Name
Dr. Beth Michelle Kulick, DDSNPI 1720047160
Title
Co Owner
Phone
(212) 725-7017

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 Primary

Addresses

Primary practice location

471 3Rd Ave
New York, NY 10016

Mailing address

471 3Rd Ave
New York, NY 10016
Phone (212) 725-7017

National Provider Directory

National Provider Directory
Part of
Elikashvili Kulick Dental Associates PLLC

Locations

471 3rd Ave
New York, NY 10016
Phone (212) 686-2907

Practitioners & affiliated clinicians

Practitioners 5

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": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1366914806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-725-7017",
            "fax_number": "212-725-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-725-7017",
            "fax_number": "212-725-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIKASHVILI & KULICK DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIKASHVILI & KULICK DENTAL ASSOCIATES, PLLC",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "212-725-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 2018; 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.