Organization Active NPI

Kahn,Kahn,Kahn

  • General Practice Dentistry
  • Medford, NY
National Provider Identifier
1487820361
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035379 Issued in NY
Legal business name
KAHN,KAHN,KAHN
Practice address
1645 Route 112
Suite a
Medford, NY 11763-3635
Phone
(631) 289-1555
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Richard Ted Kahn, D.M.D.
Title
General Dentist
Phone
(631) 289-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 035379 NY Primary

Addresses

Primary practice location

1645 Route 112
Suite a
Medford, NY 11763-3635

Mailing address

1645 Route 112
Suite a
Medford, NY 11763-3635
Phone (631) 289-1555

Other names 1

  • Kahn,Kahn,Kahn & Hludzinski Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kahnkahnkahn2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1645 Route 112
Ste A
Medford, NY 11763
Phone (631) 289-1555

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1487820361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 ROUTE 112",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633635",
            "telephone_number": "631-289-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 ROUTE 112",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633635",
            "telephone_number": "631-289-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHN,KAHN,KAHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "631-289-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kahn,Kahn,Kahn & Hludzinski",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.