Organization Active NPI

Terrace Dental Associates PLLC

  • General Practice Dentistry
  • Islip Terrace, NY
National Provider Identifier
1497772339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TERRACE DENTAL ASSOCIATES PLLC
Practice address
859 Connetquot Ave
Suite 1
Islip Terrace, NY 11752-1400
Phone
(631) 277-3100
Fax
(631) 277-3107
NPI assigned
Jul 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Nick Vittoria, DMDNPI 1053301762
Title
Dentist
Phone
(631) 277-3100

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 NY Primary

Addresses

Primary practice location

859 Connetquot Ave
Suite 1
Islip Terrace, NY 11752-1400

Mailing address

859 Connetquot Ave
Suite 1
Islip Terrace, NY 11752-1400
Phone (631) 277-3100

National Provider Directory

National Provider Directory

Locations

859 Connetquot Ave
Ste 1
Islip Terrace, NY 11752
Phone (631) 277-3100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497772339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 CONNETQUOT AVE",
            "address_2": "SUITE 1",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521400",
            "telephone_number": "631-277-3100",
            "fax_number": "631-277-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 CONNETQUOT AVE",
            "address_2": "SUITE 1",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521400",
            "telephone_number": "631-277-3100",
            "fax_number": "631-277-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITTORIA",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-277-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip Terrace, 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.