Organization Active NPI

Dr. Mary Grigoratos, Orthodontist P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bayside, NY
National Provider Identifier
1497997985
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
046147 Issued in NY
Legal business name
DR. MARY GRIGORATOS, ORTHODONTIST P.C.
Practice address
2620 Bell Blvd
Bayside, NY 11360-2539
Phone
(347) 235-4605
Fax
(718) 545-4740
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. Mary Grigoratos, D.D.S.
Title
President
Phone
(347) 235-4605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 046147 NY Primary

Addresses

Primary practice location

2620 Bell Blvd
Bayside, NY 11360-2539

Mailing address

2620 Bell Blvd
Bayside, NY 11360-2539
Phone (347) 235-4605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1497997985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602539",
            "telephone_number": "347-235-4605",
            "fax_number": "718-545-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602539",
            "telephone_number": "347-235-4605",
            "fax_number": "718-545-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY GRIGORATOS, ORTHODONTIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "GRIGORATOS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-235-4605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "046147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.