Organization Active NPI

Bay Dental at the Pointe, P.C.

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1417332750
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052816 Issued in NY
Legal business name
BAY DENTAL AT THE POINTE, P.C.
Practice address
155 Bay St
Staten Island, NY 10301-2504
Phone
(718) 635-0797
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. Steven R Cisternas, DDS
Title
Co-President
Phone
(718) 635-0797

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 052816 NY Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 051246 NY
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 049017 NY

Addresses

Primary practice location

155 Bay St
Staten Island, NY 10301-2504

Mailing address

155 Bay St
Staten Island, NY 10301-2504
Phone (718) 635-0797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1417332750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012504",
            "telephone_number": "718-635-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012504",
            "telephone_number": "718-635-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY DENTAL AT THE POINTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "CISTERNAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "718-635-0797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052816",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "051246",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "049017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.