NPIMap

Organization Active NPI

Kings 26 Dentistry

  • General Practice Dentistry
  • Ozone Park, NY
National Provider Identifier
1376793414
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047305 Issued in NY
Legal business name
KINGS 26 DENTISTRY
Practice address
10504 Crossbay Blvd
2ND Floor
Ozone Park, NY 11417-1515
Phone
(718) 843-4444
Fax
(718) 843-5097
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Mr. Faramarz Khalili, DDS
Title
Primary Provider
Phone
(718) 843-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 047305 NY Primary

Addresses

Primary practice location

10504 Crossbay Blvd
2ND Floor
Ozone Park, NY 11417-1515

Mailing address

10504 Crossbay Blvd
2ND Floor
Ozone Park, NY 11417-1515
Phone (718) 843-4444

Other identifiers 1

IdentifierTypeStateIssuer
01804719MedicaidNY

National Provider Directory

National Provider Directory

Locations

10504 Crossbay Blvd
Fl 2
Ozone Park, NY 11417
Phone (718) 843-4444

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1376793414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 CROSSBAY BLVD",
            "address_2": "2ND FLOOR",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171515",
            "telephone_number": "718-843-4444",
            "fax_number": "718-843-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 CROSSBAY BLVD",
            "address_2": "2ND FLOOR",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171515",
            "telephone_number": "718-843-4444",
            "fax_number": "718-843-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS 26 DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "FARAMARZ",
        "authorized_official_title_or_position": "PRIMARY PROVIDER",
        "authorized_official_telephone_number": "718-843-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804719",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.