Organization Active NPI

William S. Bouziotis, D.D.S.

  • General Practice Dentistry
  • Astoria, NY
National Provider Identifier
1447467915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLIAM S. BOUZIOTIS, D.D.S.
Practice address
37-08 28TH Ave
200
Astoria, NY 11103-4248
Phone
(718) 956-7011
NPI assigned
May 16, 2007
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. William S. Bouziotis, DDSNPI 1174648182
Title
Owner
Phone
(718) 956-7011

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

37-08 28TH Ave
200
Astoria, NY 11103-4248

Mailing address

3708 28TH Ave
200
Astoria, NY 11103-4248
Phone (718) 956-7011

National Provider Directory

National Provider Directory

Locations

3708 28th Ave
Ste 200
Astoria, NY 11103
Phone (718) 956-7011

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447467915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 28TH AVE",
            "address_2": "200",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034248",
            "telephone_number": "718-956-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-08 28TH AVE",
            "address_2": "200",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034248",
            "telephone_number": "718-956-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. BOUZIOTIS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUZIOTIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-956-7011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, 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.