D&I Dental Management

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043084 Issued in NY

Legal business name

D&I DENTAL MANAGEMENT

Practice address

41 Kew Gardens Rd Ste 1G
Kew Gardens, NY 11415-1165

Phone

(718) 544-8900

Fax

(718) 544-0471

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Shalyto, DDSNPI 1376616672

Title

Owner

Phone

(718) 544-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Daniel Shalyto

  • General Practice Dentistry
  • Kew Gardens, NY
  • NPI 1376616672
  NPD (past) Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1376717678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KEW GARDENS RD STE 1G",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151165",
            "telephone_number": "718-544-8900",
            "fax_number": "718-544-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 KEW GARDENS RD STE 1G",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151165",
            "telephone_number": "718-544-8900",
            "fax_number": "718-544-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&I DENTAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "SHALYTO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-544-8900",
        "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": "043084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01205687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amber J Dangervil, LCSW
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• General Practice Dentistry in Kew Gardens, NY
• Providers in Kew Gardens, 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 Apr 17, 2008; 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.