Evan P Mondshine, DDS,PC

Primary specialty

DentistTaxonomy code 122300000X

License

031513 Issued in NY

Practice address

6836 108TH St B10
Forest Hills, NY 11375-3366

Phone

(718) 268-1561

Fax

(718) 268-1577

NPI assigned

Apr 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evan P. Mondshine, D.D.S., P.C.

  • Dentist
  • Forest Hills, NY
  • NPI 1558497529
  NPD Authorized official
• Timeless Dentistry PLLC

  • Dental Clinic/Center
  • Forest Hills, NY
  • NPI 1962091884
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1497012249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 108TH ST B10",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753366",
            "telephone_number": "718-268-1561",
            "fax_number": "718-268-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 108TH ST B10",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753366",
            "telephone_number": "718-268-1561",
            "fax_number": "718-268-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDSHINE",
        "first_name": "EVAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS,PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "031513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00339946",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Molinsky, DDS
• Diana Moller
• Rebecca Moloney
• Sandy Mompoint
• Martika Mondesir
• Silvia Elena Mone, DDS
• Eftar Moniruzzaman, MHC-LP
• Ischellie Learthur Ona Monplaisir
• Cheryl A Monroe, LMSW
• Melissa M Monsalve

• Dentist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.