Active NPI
New York Dentistry Services PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- NEW YORK DENTISTRY SERVICES PLLC
- Practice address
- 200 Boundary Ave Ste 202
Massapequa, NY 11758-1152 - Phone
- (516) 798-6786
- NPI assigned
- Nov 26, 2025
- Organization subpart
- Yes
- Parent organization
- NEW YORK DENTISTRY SERVICES PLLC
Authorized official
NPPES NPI Registry- Name
- Charlotte V Dasch
- Title
- Sr Director of Credentialing
- Phone
- (504) 638-0303
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Massapequa, NY
- NPI 1083576284
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Endicott, NY
- NPI 1013560838
Orthodontics and Dentofacial Orthopedics
National Provider Directory
National Provider Directory- Tax ID family
- New York Dentistry Services PLLC
- Part of
- New York Dentistry Services PLLC
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Massapequa, NY
- NPI 1083576284
Locations
200 Boundary Ave
Ste 202
North Massapequa, NY 11758
Phone (516) 798-6786
150 Higbie Ln
West Islip, NY 11795
Phone (631) 661-3025
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 Boundary Ave Ste 202
Massapequa, NY 11758-1152
Mailing address
1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759
Other practice location 1
150 Higbie Ln
West Islip, NY 11795-3227
Phone (631) 661-3025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2025.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764115200000",
"number": "1417819616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 54TH AVE N STE 205",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372091442",
"telephone_number": "615-678-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOUNDARY AVE STE 202",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581152",
"telephone_number": "516-798-6786"
}
],
"practiceLocations": [
{
"address_1": "150 Higbie Ln",
"address_purpose": "LOCATION",
"city": "West Islip",
"state": "NY",
"postal_code": "117953227",
"country_code": "US",
"telephone_number": "631-661-3025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW YORK DENTISTRY SERVICES PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW YORK DENTISTRY SERVICES PLLC",
"enumeration_date": "2025-11-26",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A",
"authorized_official_last_name": "DASCH",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "SR DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "504-638-0303"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.