Kids Dental, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

046975 Issued in NY

Legal business name

KIDS DENTAL, P.C.

Practice address

739 Woodraw Road
Staten Island, NY 10312

Phone

(718) 356-5437

Fax

(718) 356-5433

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Alli-Lazzara, DDS

Title

Owner/President

Phone

(917) 582-5042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lauren Michelle Cox, DDS

  • Pediatric Dentistry
  • Staten Island, NY
  • NPI 1386931624
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1376803924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 WOODRAW ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-356-5437",
            "fax_number": "718-356-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 WOODRAW ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-356-5437",
            "fax_number": "718-356-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "ALLI-LAZZARA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-582-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "046975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genell Marie Kianes, LMHC
• Tatiana Kidanov, MS,RD,CDN,CDCES
• Kidney and Hypertension Medicine, P.C.
• Kids Connect USA Inc
• Kids Dental of Staten Island, PC
• Kidspark SH Inc
• Kaitlyn Marie Kiefer, CCC-SLP
• Elisheva Kierman, MS CCC SLP TSHH
• Kirsten Ashley Kiernan, L.P.N.
• Vinay N Kikkeri, M.D.

• Pediatric Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.