Organization Active NPI

Long Island Endodontics, P.C.

  • Endodontics
  • Woodmere, NY
National Provider Identifier
1427066208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0316031 Issued in NY
Legal business name
LONG ISLAND ENDODONTICS, P.C.
Practice address
141 Franklin PL
Suite C
Woodmere, NY 11598-1218
Phone
(516) 374-3663
Fax
(516) 374-4064
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Lucian Santopolo, D.D.S., M.SC.D.
Title
Owner
Phone
(516) 374-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 0316031 NY Primary

Addresses

Primary practice location

141 Franklin PL
Suite C
Woodmere, NY 11598-1218

Mailing address

141 Franklin PL
Suite C
Woodmere, NY 11598-1218
Phone (516) 374-3663

National Provider Directory

National Provider Directory

Locations

141 Franklin Pl
Ste C
Woodmere, NY 11598
Phone (516) 374-3663

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427066208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN PL",
            "address_2": "SUITE C",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981218",
            "telephone_number": "516-374-3663",
            "fax_number": "516-374-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN PL",
            "address_2": "SUITE C",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981218",
            "telephone_number": "516-374-3663",
            "fax_number": "516-374-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOPOLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LUCIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-374-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.SC.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "0316031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.