Organization Active NPI

New York Dentistry Services PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Massapequa, NY
National Provider Identifier
1417819616
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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 PLLCAs reported in NPPES

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.

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
New York Dentistry Services PLLC2 organizations share this tax ID
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.

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.