Active NPI
Bella Normatov, DDS
- Dentist
- Forest Hills, NY
National Provider Identifier
1487764999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 044223
- Practice address
- 6514 108TH St
Forest Hills, NY 11375-1856 - Phone
- (718) 997-8400
- Fax
- (718) 997-6024
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 044223 | NY | Primary |
Addresses
Primary practice location
6514 108TH St
Forest Hills, NY 11375-1856
Mailing address
6514 108TH St
Forest Hills, NY 11375-1856
Other practice location 1
109 20 Queens Blvd
65 14 108 St
Forest Hills, NY 11375
Phone (718) 261-8120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01346047 | Medicaid | NY | |
| 04794496 | Medicaid | NY | |
| 05769053 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://softtouchdentalpc.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044223 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1487764999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6514 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6514 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751856",
"telephone_number": "718-997-8400",
"fax_number": "718-997-6024"
}
],
"practiceLocations": [
{
"address_1": "109 20 Queens Blvd",
"address_2": "65 14 108 St",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "11375",
"country_code": "US",
"telephone_number": "718-261-8120",
"fax_number": "718-997-6024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORMATOV",
"first_name": "BELLA",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "044223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01346047",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04794496",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05769053",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://softtouchdentalpc.com/",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "6514 108th St",
"city": "Forest Hills",
"state": "NY",
"country_code": "US",
"postal_code": "113751856",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.