Individual provider Active NPI

Howard Jay Kirschner, DDS

  • General Practice Dentistry
  • Kew Gardens, NY
National Provider Identifier
1477556462
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23249 Issued in NY
Practice address
12510 Queens Blvd
Suite 1707
Kew Gardens, NY 11415-1532
Phone
(718) 263-9797
Fax
(718) 263-3925
NPI assigned
May 23, 2005
Reactivated
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23249 NY Primary

Addresses

Primary practice location

12510 Queens Blvd
Suite 1707
Kew Gardens, NY 11415-1532

Mailing address

12510 Queens Blvd
Suite #1707
Kew Gardens, NY 11415-1532
Phone (718) 263-9797

Other practice location 1

338 Beach 54th St
Far Rockaway, NY 11692-1782
Phone (718) 634-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000354 NY Practitioner - DentistPractitioner - Oral Surgery 0345387585 Practice locations: Kew Gardens, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
23249NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1477556462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD",
            "address_2": "SUITE #1707",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151532",
            "telephone_number": "718-263-9797",
            "fax_number": "718-263-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD",
            "address_2": "SUITE 1707",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151532",
            "telephone_number": "718-263-9797",
            "fax_number": "718-263-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Beach 54th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116921782",
            "country_code": "US",
            "telephone_number": "718-634-2123",
            "fax_number": "718-544-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "HOWARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "23249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.