Organization Active NPI

Ny Dental Concepts, P.C.

  • General Practice Dentistry
  • Glen Cove, NY
National Provider Identifier
1417441700
Registry record updated Jul 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055548 Issued in NY
Legal business name
NY DENTAL CONCEPTS, P.C.
Practice address
10 Cedar Swamp Rd Ste 2
Glen Cove, NY 11542
Phone
(516) 750-8585
Fax
(516) 750-8584
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2018

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

Authorized official

Name
Dr. Arthur Isakov, D.D.S.NPI 1205152030
Title
Owner
Phone
(917) 662-1070

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 055548 NY Primary

Addresses

Primary practice location

10 Cedar Swamp Rd Ste 2
Glen Cove, NY 11542

Mailing address

10 Cedar Swamp Rd Ste 2
Glen Cove, NY 11542-3746
Phone (516) 750-8585

Other identifiers 1

IdentifierTypeStateIssuer
03368123MedicaidNY

National Provider Directory

National Provider Directory

Locations

10 Cedar Swamp Rd
Ste 2
Glen Cove, NY 11542
Phone (516) 750-8585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530403200000",
    "number": "1417441700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CEDAR SWAMP RD STE 2",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423746",
            "telephone_number": "516-750-8585",
            "fax_number": "516-750-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CEDAR SWAMP RD STE 2",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-750-8585",
            "fax_number": "516-750-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY DENTAL CONCEPTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-07-01",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-662-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03368123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.